A & S Divine Healthcare Services Pllc
NPI #1215519038 in Calumet City, Illinois
Provider Information
- NPI Number
- 1215519038
- Entity Type
- Organization
- Organization Name
- A & S Divine Healthcare Services Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 21, 2021
- Last Updated
- Nov 16, 2021
Practice Location
- Address
- 1477 RING RD
- City
- Calumet City
- State
- Illinois
- ZIP Code
- 60409-5459
- Phone
- (708) 933-6346
Authorized Official
- Name
- DR. ANGEL WHITE, DNP, APRN, FNP-BC
- Title
- CO-OWNER/FAMILY NURSE PRACTITIONER
- Phone
- (708) 933-6346
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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