MEDICARE: HEALING PARTNERS HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WW0000X	Wound Care Registered Nurse
2	261Q00000X	Clinic/Center
3	207QG0300X	Geriatric Medicine (Family Medicine) Physician
4	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1154206092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING PARTNERS HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	7234 W BENTON DR
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-9303
Country	:	US
Telephone Number	:	815-534-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	7234 W BENTON DR
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-9303
Country	:	US
Telephone Number	:	815-534-5300
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. ROLAND OKWEN
Credential	:
Telephone Number	:	813-270-7270

Provider Enumeration Date	:	08/08/2025
Last Update Date	:	01/14/2026

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