Niles Professional Services, Inc
Niles Professional Services, Inc is a healthcare organization registered as Internal Medicine Physician in Niles, MI, holding Type 2 (organization) NPI 1568407930 since 2006. The authorized official on file is Dennis Mack, Vice President Facility Development.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1568407930 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Niles Professional Services, Inc |
| Practice address | 122 GRANT ST, Niles, MI, 49120 |
| Phone | 2696842411 |
| Fax | 2696840189 |
| Enumeration date | 2006-06-18 |
| Last updated in NPPES | 2007-11-20 |
Authorized official
| Name | Dennis Mack |
|---|---|
| Title | Vice President Facility Development |
| Phone | 2696840259 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB0012 | Other | — | RAILROAD MEDICARE |
Copy-ready billing details
Provider: Niles Professional Services, Inc NPI: 1568407930 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 122 GRANT ST, Niles, MI, 49120
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619933546 | Lakeland Nuclear Imaging, Inc. | Organization | Nuclear Imaging & Therapy Physician | Niles, MI |
| 1871777227 | Four Flags Health Ventures,Inc | Organization | Health Maintenance Organization | Niles, MI |
| 1699086744 | Lakeland Housecalls | Organization | General Practice Physician | Niles, MI |
| 1629497631 | Maritza Salvo-Ale | Individual | Public Health Dentistry | Niles, MI |
| 1043739295 | Sungmin Cho | Individual | General Practice Dentistry | Niles, MI |
| 1649743535 | Amanda Haines | Individual | Dental Hygienist | Niles, MI |
| 1306434956 | Renee Binns | Individual | Dental Hygienist | Niles, MI |
| 1851175624 | Chasity Cole | Individual | Dental Hygienist | Niles, MI |
Verify this record
Cross-check NPI 1568407930 against the authoritative CMS record: view Niles Professional Services, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Niles Professional Services, Inc?
Who is the authorized official for Niles Professional Services, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-11-20.