Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kingdom Living Healthcare SC

Organization Family Medicine Physician · NPI 1720021496

Kingdom Living Healthcare SC is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
4

Practice location Address checks out

1701 W Monterey Ave Ste 1
Chicago, IL 60643-4257
Phone: (773) 445-0292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (IL)
Family Medicine Physician Taxonomy 207Q00000X (IL)
Neurological Surgery Physician Taxonomy 207T00000X (IL)
Pediatrics Physician Taxonomy 208000000X (IL)

Record details

NPI number1720021496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Buckles — Ceo · (773) 445-0292
NPI enumeratedJune 13, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1701 W Monterey Ave, Suite 1, Chicago, IL 60643-4257

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