New Life Pentecostal Medical Clinic for the Uninsured INC

NPI #1609168657 in Kankakee, Illinois

Provider Information

NPI Number
1609168657
Entity Type
Organization
Organization Name
New Life Pentecostal Medical Clinic for the Uninsured INC
Primary Specialty
Preventive Medicine - Occupational Medicine
Enumeration Date
May 10, 2011
Last Updated
May 17, 2012

Practice Location

Address
183 N SCHUYLER AVE
ZIP Code
60901-3828
Phone
(815) 304-4305

Authorized Official

Name
OMAR GARCIA, M.D.
Title
MEDICAL DIRECTOR
Phone
(815) 304-4305

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Occupational MedicineOccupational Medicine

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