Healthcare Provider Details

I. General information

NPI: 1710164348
Provider Name (Legal Business Name): HEALTH CHEK SYSTEMS USA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2008
Last Update Date: 08/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 N STATE ROUTE 1 BLDG 3
WATSEKA IL
60970-7562
US

IV. Provider business mailing address

1801 N STATE ROUTE 1 BLDG 3
WATSEKA IL
60970-7562
US

V. Phone/Fax

Practice location:
  • Phone: 815-432-4277
  • Fax:
Mailing address:
  • Phone: 815-432-4177
  • Fax: 866-503-5042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATHY A EDWARDS
Title or Position: OWNER
Credential: MLT
Phone: 815-432-4277