1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Internal Medicine
  6. NPI Profile

KINGDOM LIVING HEALTHCARE SC
NPI 1720021496
Internal Medicine in Chicago, IL

Active since June 13, 2006
1701 W MONTEREY AVE, SUITE 1, CHICAGO, IL 60643(773) 445-0292 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Kingdom Living Healthcare Sc NPPES

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

KINGDOM LIVING HEALTHCARE SC (NPI 1720021496) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since June 2006. The organization lists Anthony L Buckles, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720021496
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKINGDOM LIVING HEALTHCARE SC
Location Address1701 W MONTEREY AVE, SUITE 1Chicago, IL 60643-4257
Mailing Address1701 W Monterey Ave, Suite 1Chicago, IL 60643-4257 · (773) 445-0292
Phone(773) 445-0292
Organization SubpartNo
Authorized OfficialAnthony L BucklesCeo · (773) 445-0292
Enumeration DateJune 13, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1720021496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedPediatricsTaxonomy 208000000X

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

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA HOWARD FNP-BC
Nurse Practitioner (Family)
1701 W MONTEREY AVE, SUITE 4
CHICAGO, IL 60643
Cook County (773) 298-9800
DR. GREGORY BRIAN WINSTEAD MD, MPH
Family Medicine
1701 W MONTEREY AVE
CHICAGO, IL 60643
Cook County (773) 233-5850
JOHNSON HEALTHCARE PROVIDERS LTD
Internal Medicine
1701 W MONTEREY AVE
CHICAGO, IL 60643
Cook County (773) 233-5800
DR. JOHN BLAIR MATTES DDS
Dentist (General Practice)
1701 W MONTEREY AVE
CHICAGO, IL 60643
Cook County (773) 445-9880
VALERIE C WALKER M.D.
Internal Medicine
1701 W MONTEREY AVE, SUITE 1
CHICAGO, IL 60643
Cook County (773) 233-5850
WILLIAM A JOHNSON MD
Internal Medicine
1701 W MONTEREY AVE, SUITE 1
CHICAGO, IL 60643
Cook County (773) 233-5850
CHRISTIAN COMMUNITY HEALTH CENTER
Clinic/Center (Community Health)
1701 W MONTEREY AVE
CHICAGO, IL 60643
Cook County (773) 233-5850
DIVINE INTERVENTIONS AN HKN LLC
Radiology (Vascular & Interventional Radiology)
1701 W MONTEREY AVE
CHICAGO, IL 60643
Cook County (708) 576-9542

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 Kingdom Living Healthcare Sc's NPI number?

The NPI number for Kingdom Living Healthcare Sc is 1720021496. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Kingdom Living Healthcare Sc located?

Kingdom Living Healthcare Sc is located at 1701 W Monterey Ave Suite 1, Chicago, IL 60643. The listed phone number is (773) 445-0292.

What is Kingdom Living Healthcare Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kingdom Living Healthcare Sc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.