DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NEW LIFE PENTECOSTAL MEDICAL CLINIC FOR THE UNINSURED INC

Active Organization

NEW LIFE PENTECOSTAL MEDICAL CLINIC FOR THE UNINSURED INC is a Occupational Medicine organization located in KANKAKEE, Illinois. NPI 1609168657 is currently active in the NPPES registry. Verify at CMS.

Occupational Medicine · KANKAKEE, IL

Registration Details

NPI Number
1609168657
Provider Type
Organization
NPI Issued
May 10, 2011 (15.29385426843 yrs)
Last Updated
May 17, 2012
License
036.124389 (IL)

Practice Information

Address
183 N SCHUYLER AVE
KANKAKEE, IL, 609013828
Browse IL providers · Browse ZIP 60901
Phone
8153044305
Fax
8153044306
Primary Specialty
Occupational Medicine
2083X0100X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.