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WELL KEPT ELDER ENTERPRISES, LLC
NPI 1508419367
Family Medicine in Chicago, IL

Active since July 22, 2019
558 W ROOSEVELT RD # 3, CHICAGO, IL 60607(773) 358-8295(312) 872-3562 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2023, Nov 1, 2022, Sep 16, 2019 and 1 more (4 updates tracked since 2019).

About Well Kept Elder Enterprises, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELL KEPT ELDER ENTERPRISES, LLC (NPI 1508419367) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since July 2019. The organization lists Monica Shalise' Buckner, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1508419367
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELL KEPT ELDER ENTERPRISES, LLC
Location Address558 W ROOSEVELT RD # 3Chicago, IL 60607-4917
Mailing Address558 W Roosevelt Rd # 3Chicago, IL 60607-4917 · (773) 358-8295 · Fax (312) 872-3562
Phone(773) 358-8295
Fax(312) 872-3562
Organization SubpartNo
Authorized OfficialMonica Shalise' BucknerOwner Physician · (773) 358-8295
Enumeration DateJuly 22, 2019
Last NPPES UpdateSeptember 4, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2023
✔ NPI 1508419367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
558 W ROOSEVELT RD # 3, Chicago, IL 60607
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Other Names 1

Doing Business AsWell Kept Elder Enterprises, Llc

Other Identifiers 1

Medicaid125067381IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Well Kept Elder Enterprises, LLC's NPI number?

The NPI number for Well Kept Elder Enterprises, LLC is 1508419367. It was assigned to this organization in the NPPES registry on July 22, 2019.

Where is Well Kept Elder Enterprises, LLC located?

Well Kept Elder Enterprises, LLC is located at 558 W Roosevelt Rd # 3, Chicago, IL 60607. The listed phone number is (773) 358-8295.

What is Well Kept Elder Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Well Kept Elder Enterprises, LLC was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.