Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caleb Pennock

Individual provider Licensed Practical Nurse · NPI 1720535032

Caleb Pennock is a Licensed Practical Nurse in Carterville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

4474 Old Route 13
Carterville, IL 62918-3300
Phone: (618) 889-7076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 043.122929 (IL)

Record details

NPI number1720535032
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 2, 2016
Last updated in NPPESSeptember 2, 2016

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