IndividualActive
Caleb Pennock
NPI 1720535032 · Licensed Practical Nurse · Carterville, IL
Caleb Pennock is a Licensed Practical Nurse provider in Carterville, IL (NPI 1720535032).
Provider details
- NPI number
- 1720535032
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 043.122929 (IL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4474 Old Route 13
Carterville, IL 62918-3300
Phone: (618) 889-7076
Street-level locationGet directions
Mailing address
4474 Old Route 13
Carterville, IL 62918-3300
Registry dates
- Enumerated
- 2016-09-02
- Last updated
- 2016-09-02
Frequently asked questions
- What is Caleb Pennock's NPI number?
- Caleb Pennock's National Provider Identifier (NPI) is 1720535032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Caleb Pennock's specialty?
- Caleb Pennock is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Caleb Pennock located?
- Caleb Pennock's practice location on file with NPPES is 4474 Old Route 13, Carterville, IL 62918-3300.
- What is Caleb Pennock's phone number?
- The practice phone number listed in the NPPES registry for Caleb Pennock is (618) 889-7076.
- Is Caleb Pennock's NPI active?
- Yes — Caleb Pennock's NPI (1720535032) is active in the NPPES registry as of the last update on 2016-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.