Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CALEB PENNOCK
Active Sole ProprietorCALEB PENNOCK is a Licensed Practical Nurse healthcare provider located in CARTERVILLE, Illinois. NPI 1720535032 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · CARTERVILLE, IL
Registration Details
- NPI Number
- 1720535032
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2016 (9.9291049385027 yrs)
- Last Updated
- Sep 2, 2016
- License
-
043.122929 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4474 OLD ROUTE 13CARTERVILLE, IL, 629183300Browse IL providers · Browse ZIP 62918
- Phone
- 6188897076
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in CARTERVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| JACOB KIERBS | — | 1700336310 |
| MRS. ANGELA CONGIARDO | LPN | 1881136026 |
| MRS. BREANNE NICOLE MEKELBURG | LPN | 1972042570 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.