PKC Health Service – Brain Injury Medicine (Psychiatry & Neurology) Physician, NPI 1902658586

PKC Health Service is a healthcare provider. based in Glenwood, Illinois. specializing in Brain Injury Medicine (Psychiatry & Neurology) Physician. The NPI Number for PKC Health Service is 1902658586

Main info

Organization
Name
PKC Health Service
NPI
1902658586
Phone
(708) 303-8816
Address
18300 S HALSTED STE B #341
Authorized Official
LASHONDA CROCKETT PRESIDENT
Enumeration Date
4 April 2024
Last Update Date
26 September 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for PKC Health Service

  • 18300 S HALSTED STE B #341

    GLENWOOD, IL 60425

    Phone: (708) 303-8816

    Type: Mailing

  • 1521 OTTO BLVD

    CHICAGO HEIGHTS, IL 604113875

    Phone: (708) 303-8816

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60425)

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Frequently asked questions

What federal number belongs to PKC Health Service?
The federal identifier for PKC Health Service is NPI 1902658586.
Is PKC Health Service currently active in the NPI registry?
CMS-published data lists PKC Health Service as an active registrant.
Can you summarize PKC Health Service's specialty in plain language?
Clinically, the directory lists PKC Health Service with Brain Injury Medicine (Psychiatry & Neurology) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for PKC Health Service?
The page summarizes Glenwood, Illinois for PKC Health Service; expand the address list for detail.
How can I contact PKC Health Service?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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