Provider Demographics
NPI:1679898373
Name:HEAL-THY PEOPLE MINISTRIES INC.
Entity type:Organization
Organization Name:HEAL-THY PEOPLE MINISTRIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:LAVERNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:708-396-9777
Mailing Address - Street 1:2813 W 147TH ST
Mailing Address - Street 2:
Mailing Address - City:POSEN
Mailing Address - State:IL
Mailing Address - Zip Code:60469-1516
Mailing Address - Country:US
Mailing Address - Phone:708-396-9777
Mailing Address - Fax:708-396-9732
Practice Address - Street 1:2813 W 147TH ST
Practice Address - Street 2:
Practice Address - City:POSEN
Practice Address - State:IL
Practice Address - Zip Code:60469-1516
Practice Address - Country:US
Practice Address - Phone:708-396-9777
Practice Address - Fax:708-396-9732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036110716261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILI51090Medicare UPIN