Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Service Professional Corp

Organization Specialist · NPI 1659484053

Life Service Professional Corp is a Specialist in Gary, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1015 N Shelby St
Gary, IN 46403-1446
Phone: (219) 938-0920
Fax: (219) 938-0923
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (IN)

Record details

NPI number1659484053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geraldine Barron-Simpson — Office Manager · (219) 938-0920
NPI enumeratedAugust 17, 2006
Last updated in NPPESJuly 21, 2022
Mailing address1015 N Shelby St, Gary, IN 46403-1446

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