| Pkc Health Service | |
|
1521 Otto Blvd Chicago Heights IL 60411-3875 | |
| (708) 303-8816 | |
| Not Available |
| Full Name | Pkc Health Service |
|---|---|
| Speciality | Psychiatry & Neurology - Brain Injury Medicine |
| Location | 1521 Otto Blvd, Chicago Heights, Illinois |
| Authorized Official Name and Position | Lashonda Crockett (PRESIDENT) |
| Authorized Official Contact | 7083038816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pkc Health Service 18300 S Halsted Ste B #341 Glenwood IL 60425 Ph: (708) 303-8816 | Pkc Health Service 1521 Otto Blvd Chicago Heights IL 60411-3875 Ph: (708) 303-8816 |
| NPI Number | 1902658586 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902658586 | NPI | - | NPPES |
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