International Pentecostal Assy. Ecum. (Ipae)
Organization Active NPI Community/Behavioral Health Agency · Steger, IL
NPI 1407125156 · NPPES record last updated Dec 27, 2011
Key facts
- NPI
- 1407125156
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- DCN:005115 (IL)
- Legal business name
- INTERNATIONAL PENTECOSTAL ASSY. ECUM. (IPAE)
- Practice address
- 1311 E Steger Rd
Steger, IL 60475-6017 - Phone
- (855) 358-5353
- Fax
- (708) 758-1845
- NPI assigned
- Dec 27, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- BROTHERS KEEPER COMMUNITY RESOURCE CENTER (CRC)
Authorized official
- Name
- William McCoy Sr.
- Title
- Ceo
- Phone
- (708) 758-1840
National Provider Directory
Locations
283 E 14th St
Chicago Heights, IL 60411
1311 E Steger Rd
Steger, IL 60475
Phone (855) 358-5353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | DCN:005115 | IL | Yes |
Addresses
Primary practice location
1311 E Steger Rd
Steger, IL 60475-6017
Mailing address
283 E 14TH St
Chicago Heights, IL 60411-2837
Phone (708) 758-1840
Other names
- Brothers Keeper Community Resource Center (CrC)
Other providers in Steger, IL
- Leslie Engstrand Guca
- Tamela Harris Ali
- Connie Hughley
- Andrea Hullum
- Sharica D Humphrey
- JD Wicked Solutions, PLLC
- Betsave Jimenez
- John C Grabow DDS LTD
- Tomika Johnson
- Yvette R Johnson
All providers in Steger, IL · Community/Behavioral Health Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.