MR. SAMUEL OPPONG NPI 1124730692

NPI Information

NPI: 1124730692
Provider Name: MR. SAMUEL OPPONG
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
6305 WOODWARD AVE
DOWNERS GROVE, IL
ZIP 60516
Phone: (630) 506-3530
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MR. Samuel Oppong is a driver in Downers Grove, IL. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. MR. Samuel Oppong NPI is 1124730692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6305 WOODWARD AVE
DOWNERS GROVE, IL
ZIP 60516-311
Phone: (630) 506-3530
Fax: (630) 512-0895

The enumeration date for this NPI number is 12/15/2022 and was last updated on 12/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver		015278076119	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	871289761	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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