Organization · Type 2 NPI

A & S Divine Healthcare Services PLLC

Family Nurse Practitioner · Calumet City, IL

NPI number 1215519038 Active

Practice location

1477 Ring Rd
Calumet City, IL 60409-5459

Fax (708) 933-6356

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1215519038

A & S Divine Healthcare Services PLLC's National Provider Identifier is 1215519038, issued on Apr 21, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Calumet City, IL. The record was last updated on Nov 16, 2021.