Sovereign Healthcare

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

SOVEREIGN HEALTHCARE

Practice address

6159 N Kenmore Ave
Chicago, IL 60660-2722

Phone

(773) 761-9050

Fax

(773) 761-9055

NPI assigned

Jun 21, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Lubowsky

Title

Bookkeeper

Phone

(847) 679-7484

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174529614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N HAMLIN",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "60712",
            "telephone_number": "847-679-7484",
            "fax_number": "847-679-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6159 N KENMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602722",
            "telephone_number": "773-761-9050",
            "fax_number": "773-761-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUBOWSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "847-679-7484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Soutter, DC
• Jacqueline Souza, MD
• Jamie Frances Sovcik, PHARMD
• Paul Sovcik, PHARMD
• Austin Timothy Sovell
• Sovereign Rehabilitation of Chicago, LTD
• Sovereign Rehabilitation of Illinois LLC
• Sovereign Rehabilitation of Illinois LLC
• Sow and Seed Psychotherapy, PLLC
• Diane Sowa, RDN

• Nursing Facility/Intermediate Care Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.