New Life Pentecostal Medical Clinic For The Uninsured

LBN: New Life Pentecostal Medical Clinic For The Uninsured Inc
New Life Pentecostal Medical Clinic For The Uninsured is an health care organization with primary practice located at 183 N Schuyler Ave , Kankakee IL 60901-3828. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as the primary health care specialty. New Life Pentecostal Medical Clinic For The Uninsured Inc can be contacted via phone (815) 304-4305, or through Garcia, Omar via phone (815) 304-4305.

Contact Information

Primary practice address
183 N Schuyler Ave Kankakee IL 60901-3828
Fax: (815) 304-4306
Website:
Authorized official contact:
Name: Garcia, Omar Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 036.124389 Illinois

Profile Details

NPI number 1609168657
LBN Legal business name New Life Pentecostal Medical Clinic For The Uninsured Inc
DBA Doing business as New Life Pentecostal Medical Clinic For The Uninsured
Authorized official Garcia, Omar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2011
Last updated May 17th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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