MEDICARE: ANOINTED HELP MEDICAL SERVICES

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	305R00000X	Preferred Provider Organization	36090521	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922005776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANOINTED HELP MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	1340 CHARLES ST
Second Line	:	SUITE 400
City	:	ROCKFORD
State	:	IL
Zip	:	61104-2200
Country	:	US
Telephone Number	:	815-986-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 CHARLES ST
Second Line	:	SUITE 400
City	:	ROCKFORD
State	:	IL
Zip	:	61104-2200
Country	:	US
Telephone Number	:	815-986-4300
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. KENNETH ONEAL
Credential	:	M.D.
Telephone Number	:	815-986-0062

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	08/22/2020

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Directions to “ANOINTED HELP MEDICAL SERVICES ” Practice Location

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