| New Life Education Center | |
|
1701 E Court St. Kankakee IL 60901 | |
| (815) 935-5433 | |
| (815) 935-1187 |
| Full Name | New Life Education Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 E Court St., Kankakee, Illinois |
| Authorized Official Name and Position | James M Kirchner (VP COMMUNITY CENTERS) |
| Authorized Official Contact | 8159357256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Education Center P.o. Box 781 Kankakee IL 60901 Ph: (815) 935-7256 | New Life Education Center 1701 E Court St. Kankakee IL 60901 Ph: (815) 935-5433 |
| NPI Number | 1417056532 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417056532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036100101 (Illinois) | Primary |
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