MEDICARE: HEAL-THY PEOPLE MINISTRIES INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	036110716	IL

General Provider Information

NPI Number	:	1679898373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAL-THY PEOPLE MINISTRIES INC.

Provider Business Mailing Address
First Line	:	2813 W 147TH ST
Second Line	:
City	:	POSEN
State	:	IL
Zip	:	60469-1516
Country	:	US
Telephone Number	:	708-396-9777
Fax Number	:	708-396-9732

Provider Business Practice Location Address
First Line	:	2813 W 147TH ST
Second Line	:
City	:	POSEN
State	:	IL
Zip	:	60469-1516
Country	:	US
Telephone Number	:	708-396-9777
Fax Number	:	708-396-9732

Authorized Official
Title or Position	:	DR.
Name	:	LAVERNE BARNES
Credential	:	D.O.
Telephone Number	:	708-396-9777

Provider Enumeration Date	:	04/06/2010
Last Update Date	:	04/06/2010

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