OrganizationActive
A & S Divine Healthcare Services PLLC
NPI 1215519038 · Family Nurse Practitioner · Calumet City, IL
Provider details
- NPI number
- 1215519038
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Angel White, Co-Owner/Family Nurse Practitioner(708) 933-6346
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1477 Ring Rd
Calumet City, IL 60409-5459
Phone: (708) 933-6346
Fax: (708) 933-6356
Approximate (ZIP-level) locationGet directions
Mailing address
1477 Ring Rd
Calumet City, IL 60409-5459
Registry dates
- Enumerated
- 2021-04-21
- Last updated
- 2021-11-16
- Certified
- 2021-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.