Provider Demographics
NPI:1538819578
Name:CREATIVE SERVICES INC
Entity type:Organization
Organization Name:CREATIVE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TASHEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-733-6625
Mailing Address - Street 1:600 TOWN CENTER RD STE 169
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2205
Mailing Address - Country:US
Mailing Address - Phone:708-898-1801
Mailing Address - Fax:708-265-5405
Practice Address - Street 1:600 HOLIDAY PLAZA DR STE 169
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2236
Practice Address - Country:US
Practice Address - Phone:708-898-1801
Practice Address - Fax:708-265-5405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care