Iconic Nurse Network Outreach, Inc

LBN: Iconic Nurse Network Outreach, Inc
Iconic Nurse Network Outreach, Inc is an health care organization with primary practice located at 730 N Church St # Ll-3 , Rockford IL 61103-6917. The organization recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Wound Care, Other Service Providers / Community Health Worker, Agencies / Case Management, Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health. Other Service Providers / Community Health Worker is the primary health care specialty. Iconic Nurse Network Outreach, Inc can be contacted via phone (312) 931-7376, or through Tellis, Lakhila via phone (312) 468-8604.

Contact Information

Primary practice address
730 N Church St # Ll-3 Rockford IL 61103-6917
Phone: (312) 931-7376
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tellis, Lakhila RN, CHW
Phone: (312) 468-8604

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Nursing Service Providers / Wound Care 163WW0000X
Other Service Providers / Community Health Worker 172V00000X
Agencies / Case Management 251B00000X
Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health 364SC1501X

Profile Details

NPI number 1669215141
LBN Legal business name Iconic Nurse Network Outreach, Inc
DBA Doing business as
Authorized official Tellis, Lakhila RN, CHW
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2024
Last updated Jun 13th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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