Lacanda Willis is a Driver in Chicago, Illinois. Lacanda Willis practices all healthcare services and medical treatments related to Driver. The NPI Number for Lacanda Willis is 1528259959. The last update date is 2007-08-09.
Lacanda Willis's current location address is 1507 E 53rd St, Chicago, Illinois. You can contact this provider via phone number 7738374163 and fax number 7087982454. The mailing address for Lacanda Willis is 1507 E 53rd St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lacanda Willis |
|---|---|
| Address | 1507 E 53rd St, Chicago, Illinois |
| Phone Number | 7738374163 |
| Fax Number | 7087982454 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1528259959 |
|---|---|
| Provider Enumeration Date | 2007-08-09 |
| Last Updated Date | 2007-08-09 |
Provider Mailing Address Detail
| Address | 1507 E 53rd St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606154509 |
| Phone Number | 7738374163 |
| Fax Number | 7087982454 |
Provider's Primary Taxonomy Detail
| Speciality | Driver |
|---|---|
| Taxonomy | 172A00000X |
|
Definition: A person employed to operate a motor vehicle as a carrier of persons or property. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36435163002 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lacanda Willis by the Centers for Medicare & Medicaid Services?
The Lacanda Willis has been assigned the NPI (National Provider Identifier) 1528259959 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lacanda Willis's facilities are situated?
The facilities of Lacanda Willis are physically located at the following address: 1507 E 53Rd St, Chicago, IL, 606154509.
What is Lacanda Willis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lacanda Willis is Driver, and the taxonomy classification code that categorizes this area of expertise is 172A00000X.
On what date did the Lacanda Willis receive its 1528259959 assignment from the Centers for Medicare & Medicaid Services?
The Lacanda Willis was assigned its 1528259959 by the Centers for Medicare & Medicaid Services on 2007-08-09.
As of what date were the Lacanda Willis's details last updated?
The information pertaining to the Lacanda Willis, including its address, specialty, and other details, was most recently updated on 2007-08-09.