Pkc Health Service

LBN: Pkc Health Service
Pkc Health Service is an health care organization with primary practice located at 1521 Otto Blvd , Chicago Heights IL 60411-3875. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Brain Injury Medicine, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care. Allopathic & Osteopathic Physicians / Brain Injury Medicine is the primary health care specialty. Pkc Health Service can be contacted via phone (708) 303-8816, or through Crockett, Lashonda via phone (708) 303-8816.

Contact Information

Primary practice address
1521 Otto Blvd Chicago Heights IL 60411-3875
Phone: (708) 303-8816
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crockett, Lashonda
Phone: (708) 303-8816

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2081P0301X
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2084P0301X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1902658586
LBN Legal business name Pkc Health Service
DBA Doing business as Pkc Health Service
Authorized official Crockett, Lashonda
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2024
Last updated Jul 17th, 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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