New Song Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEW SONG HEALTH CENTER

Practice address

151 E Briarcliff Rd
Bolingbrook, IL 60440-3070

Phone

(630) 783-2832

Fax

(630) 783-2837

NPI assigned

Apr 6, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Davis

Title

Executive Director

Phone

(630) 783-2832

Specialties & licenses 1

Addresses

Other names 1

• Bolingbrook Christian Health Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alysa Angel, APRN, FNP-BC, PMHNP

  • Family Nurse Practitioner
  • Bolingbrook, IL
  • NPI 1780156281
  NPD
• Onna Ford, APN FNP-C

  • Family Nurse Practitioner
  • South Holland, IL
  • NPI 1578072815
  NPD (past)
• Hadasah Maddela

  • Physical Therapist
  • Bolingbrook, IL
  • NPI 1871063933
  NPD (past)
• Janet Ritter, BS PHARMACY, PHARMD

  • Ambulatory Care Pharmacist
  • Bolingbrook, IL
  • NPI 1457210361
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1366071896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E BRIARCLIFF RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403070",
            "telephone_number": "630-783-2832",
            "fax_number": "630-783-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E BRIARCLIFF RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403070",
            "telephone_number": "630-783-2832",
            "fax_number": "630-783-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SONG HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-783-2832"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bolingbrook Christian Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Neri
• Kelsey Nevell
• New Day Place, LLC
• New Life Chiropractic, PC
• New Life Podiatry, P.C.
• Lisa Lynn Newman, PT
• Ieasha Nickelson, RN
• Nicole Cochrane, M.Ed.,LCPC
• Nicole Lynn Nikchevich, M.S., BCBA
• Tyler Nohren, ATC

• Family Medicine Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.