Organization
HEAL-THY PEOPLE FAMILY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVERNE BARNES DO (PHYSICIAN)
(708) 720-5161
Entity
Organization
Contact information
Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 396-9777
(708) 396-9732
Mailing address
6030 COLGATE LN, MATTESON, IL 60443-1995
(708) 396-9777
(708) 396-9732
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036110716
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110716
—
IL
Enumeration date
09/03/2015
Last updated
09/03/2015
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