IndividualActive
John Bagenda
NPI 1730940479 · Adult Companion · Oakbrook Terrace, IL
Provider details
- NPI number
- 1730940479
- Entity type
- Individual
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
- Day Training/Habilitation Specialist373H00000X
Nursing Service Related Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
Practice location
18w140 Butterfield Rd Fl 15
Oakbrook Terrace, IL 60181-4843
Phone: (630) 613-7788
Fax: (630) 613-7787
Approximate (ZIP-level) locationGet directions
Mailing address
18w140 Butterfield Rd Fl 15
Oakbrook Terrace, IL 60181-4843
Registry dates
- Enumerated
- 2024-01-19
- Last updated
- 2024-01-19
- Certified
- 2024-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.