Active NPI
International Word Out Ministries
- Substance Use Disorder Rehabilitation Hospital Unit
- Calumet Park, IL
National Provider Identifier
1891286266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Hospital Unit
- License
- A74870002A
- Legal business name
- INTERNATIONAL WORD OUT MINISTRIES
- Practice address
- 1139 W Vermont Ave
Calumet Park, IL 60827-6520 - Phone
- (708) 897-9446
- NPI assigned
- May 22, 2018
- Last updated
- May 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yasmeen Sturdivant, TH. M.
- Title
- Ceo
- Phone
- (708) 663-2615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | A74870002A | IL | Primary |
Addresses
Primary practice location
1139 W Vermont Ave
Calumet Park, IL 60827-6520
Mailing address
23820 S Sara CT
Crete, IL 60417-3412
Phone (708) 663-2615
National Provider Directory
National Provider DirectoryLocations
1139 W Vermont Ave
Calumet Park, IL 60827
Phone (708) 897-9446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526947200000",
"number": "1891286266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23820 S SARA CT",
"city": "CRETE",
"state": "IL",
"postal_code": "604173412",
"telephone_number": "708-663-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 W VERMONT AVE",
"city": "CALUMET PARK",
"state": "IL",
"postal_code": "608276520",
"telephone_number": "708-897-9446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNATIONAL WORD OUT MINISTRIES",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-22",
"last_updated": "2018-05-22",
"status": "A",
"authorized_official_last_name": "STURDIVANT",
"authorized_official_first_name": "YASMEEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "708-663-2615",
"authorized_official_credential": "TH. M."
},
"taxonomies": [
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": "IL",
"license": "A74870002A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calumet Park, IL
- Lonyah Monquie Guy, APRN
- Raegene Hankle, FNP-BC
- Healing Walls Rehabilitation LLC
- Tonya Hicks
- Intermind Wellness Inc
- Kenyana T Johnson, DEVELOPMENTAL THERAP
- Steven Vernon Johnson Jr., CDL CLASS A
- Tracey Johnson
- Lolita a. Wilburn D.C.P.C. (Back To Heatlh Chiropractic-Medical Center)
- Victoria Elizabeth Lopez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.