PKC HEALTH SERVICE
NPI 1902658586
Psychiatry & Neurology - Brain Injury Medicine in Chicago Heights, IL

Q: What is Pkc Health Service's NPI number?

The NPI number for Pkc Health Service is 1902658586. It was assigned to this organization in the NPPES registry on April 4, 2024.

Q: What is Pkc Health Service's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Brain Injury Medicine, with taxonomy code 2084P0301X.

Active since April 04, 2024

1521 OTTO BLVD, CHICAGO HEIGHTS, IL 60411(708) 303-8816 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2024, Jul 17, 2024, Jul 12, 2024 and 2 more (5 updates tracked since 2024).

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About Pkc Health Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PKC HEALTH SERVICE (NPI 1902658586) is a healthcare organization registered as a brain injury medicine in Chicago Heights, Illinois and active in the NPI registry since April 2024. The organization lists Lashonda Crockett, President, as its authorized official.

NPPES Registry Identity

NPI1902658586

Entity TypeOrganization

Primary Taxonomy2084P0301X

Legal Business NamePKC HEALTH SERVICE

Location Address1521 OTTO BLVDChicago Heights, IL 60411-3875

Mailing Address18300 S Halsted Ste B #341Glenwood, IL 60425 · (708) 303-8816

Phone(708) 303-8816

Organization SubpartNo

Authorized OfficialLashonda CrockettPresident · (708) 303-8816

Enumeration DateApril 4, 2024

Last NPPES UpdateSeptember 26, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2024

✔ NPI 1902658586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyPsychiatry & Neurology · Brain Injury MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084P0301X

Definition

A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.

Also ListedDrama TherapistTaxonomy 101200000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPhysical Medicine & Rehabilitation · Brain Injury MedicineTaxonomy 2081P0301X

Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X

Also ListedArt TherapistTaxonomy 221700000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedRecreation TherapistTaxonomy 225800000X

Also ListedMusic TherapistTaxonomy 225A00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

1521 OTTO BLVD, Chicago Heights, IL 60411

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Other Names 1

Doing Business AsPkc Health Service

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LASHONDA CROCKETT

In Home Supportive Care

1521 OTTO BLVD
CHICAGO HEIGHTS, IL 60411

Cook County (708) 625-1069

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pkc Health Service's NPI number?

The NPI number for Pkc Health Service is 1902658586. It was assigned to this organization in the NPPES registry on April 4, 2024.

Where is Pkc Health Service located?

Pkc Health Service is located at 1521 Otto Blvd, Chicago Heights, IL 60411. The listed phone number is (708) 303-8816.

What is Pkc Health Service's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Brain Injury Medicine, with taxonomy code 2084P0301X.

When was this NPI record last updated?

The NPPES record for Pkc Health Service was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.