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

Caleb Pennock

Individual provider Licensed Practical Nurse · NPI 1720535032

Caleb Pennock is a Licensed Practical Nurse in Carterville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016
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Practice location Address checks out

4474 Old Route 13
Carterville, IL 62918-3300
Phone: (618) 889-7076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 043.122929 (IL)

Record details

NPI number1720535032
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 2, 2016
Last updated in NPPESSeptember 2, 2016
Mailing address4474 Old Route 13, Carterville, IL 62918-3300

Other providers in Carterville