OrganizationActive
Pkc Health Service
NPI 1902658586 · Brain Injury Medicine (Psychiatry & Neurology) Physician · Chicago Heights, IL
Provider details
- NPI number
- 1902658586
- Entity type
- Organization
- Primary specialty
- Brain Injury Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Lashonda Crockett, President
Mailing address
18300 S Halsted Ste B #341
Glenwood, IL 60425
Registry dates
- Enumerated
- 2024-04-04
- Last updated
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.