Organization · Type 2 NPI
New Life Midwest PLLC
Addiction Medicine (Family Medicine) Physician · Carlyle, IL
NPI number
1316779705
Active
Practice location
991 Franklin St
Carlyle, IL 62231-1818
Fax (618) 417-6048
Mailing address
8440 Cryder Lane Ct
Troy, IL 62294-1178
Other practice locations
- 1201 Ricker Rd Ste D, Salem, IL 62881-4263 · (618) 610-1028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
| Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0813X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
2 other providers at this address
About NPI 1316779705
New Life Midwest PLLC's National Provider Identifier is 1316779705, issued on Aug 15, 2024. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Carlyle, IL. The record was last updated on May 29, 2025.