New Life Pentecostal Medical Clinic for the Uninsured Inc
New Life Pentecostal Medical Clinic for the Uninsured Inc is an Occupational Medicine Physician in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
183 N Schuyler AveKankakee, IL 60901-3828
Phone: (815) 304-4305
Fax: (815) 304-4306
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Medicine Physician (primary) | Taxonomy 2083X0100X · Licence 036.124389 (IL) |
|---|
Record details
| NPI number | 1609168657 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Omar Garcia — Medical Director · (815) 304-4305 |
| Other names | New Life Pentecostal Medical Clinic For The Uninsured |
| NPI enumerated | May 10, 2011 |
| Last updated in NPPES | May 17, 2012 |
| Mailing address | 183 N Schuyler Ave, Kankakee, IL 60901-3828 |