Organization · Type 2 NPI

Well Kept Elder Enterprises, LLC

Family Medicine Physician · Chicago, IL

NPI number 1508419367 Active

Practice location

558 W Roosevelt Rd # 3
Chicago, IL 60607-4917

Fax (312) 872-3562

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Geriatric Medicine (Family Medicine) Physician	207QG0300X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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NPI record

NPI: 1508419367
Entity type: Organization (Type 2)
Issued: Jul 22, 2019
Last updated: Sep 4, 2023
Status: Active

Other names

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Well Kept Elder Enterprises, LLC · doing business as
Well Kept Elder Enterprises, LLC · doing business as

Authorized official

Monica Shalise' Buckner
Owner Physician
(773) 358-8295

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508419367

Well Kept Elder Enterprises, LLC's National Provider Identifier is 1508419367, issued on Jul 22, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 4, 2023.