Provider Demographics
NPI:1710726559
Name:KADABAENTERPRISE LLC
Entity type:Organization
Organization Name:KADABAENTERPRISE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KADIRI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADABA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:224-386-5445
Mailing Address - Street 1:1075 ATLANTIC AVE APT E
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-3762
Mailing Address - Country:US
Mailing Address - Phone:224-386-5445
Mailing Address - Fax:
Practice Address - Street 1:1075 ATLANTIC AVE APT E
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-3762
Practice Address - Country:US
Practice Address - Phone:224-386-5445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-21
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
No251X00000XAgenciesSupports Brokerage
No333300000XSuppliersEmergency Response System Companies
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)