Provider profile · NPI 1215519038
A & S Divine Healthcare Services Pllc
Nurse Practitioner, Family · Calumet City, IL · NPI 1215519038 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Nurse Practitioner, Family
Enumerated
Apr 21, 2021
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1477 RING RD | Calumet City, IL 60409-5459 | 708-933-6346 |
| MAILING | 1477 RING RD | Calumet City, IL 60409-5459 | 708-933-6346 |
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