Healthcare Provider Details

I. General information

NPI: 1487451142
Provider Name (Legal Business Name): NEONEST FAMILY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8041 186TH ST STE B
TINLEY PARK IL
60487-9344
US

IV. Provider business mailing address

8041 186TH ST STE B
TINLEY PARK IL
60487-9344
US

V. Phone/Fax

Practice location:
  • Phone: 773-619-0088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LOVELLA KANU
Title or Position: PHYSICIAN
Credential: MD
Phone: 773-619-0088