A & S DIVINE HEALTHCARE SERVICES PLLC; NPI #1215519038

Contact Information

A & S DIVINE HEALTHCARE SERVICES PLLC

1477 RING RD
CALUMET CITY, IL 60409-5459

Phone: 708-933-6346
Fax: 708-933-6356
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for A & S DIVINE HEALTHCARE SERVICES PLLC

NPI #	`1215519038`
LBN Legal business name	A & S DIVINE HEALTHCARE SERVICES PLLC
Authorized official	ANGEL WHITE - (CO-OWNER/FAMILY NURSE PRACTITIONER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/21/2021
Last updated	11/16/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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A & S DIVINE HEALTHCARE SERVICES PLLC

Contact Information

Specialty

Family

NPI Profile & details for A & S DIVINE HEALTHCARE SERVICES PLLC

Reviews for A & S DIVINE HEALTHCARE SERVICES PLLC