Provider Demographics
NPI:1134006455
Name:FLAWLESS FILLERS CORP.
Entity type:Organization
Organization Name:FLAWLESS FILLERS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHANCY
Authorized Official - Middle Name:TORI
Authorized Official - Last Name:KITOVER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-403-9392
Mailing Address - Street 1:1960 W HOOD AVE APT 2C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-2244
Mailing Address - Country:US
Mailing Address - Phone:773-403-9392
Mailing Address - Fax:
Practice Address - Street 1:700 N. GREEN ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642
Practice Address - Country:US
Practice Address - Phone:773-403-9392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty