AKASSI ESTELLE GRANT CNA DRIVER NPI 1184145195

NPI Information

NPI: 1184145195
Provider Name: AKASSI ESTELLE GRANT, CNA, DRIVER
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
3413 W 76TH ST
CHICAGO, IL
ZIP 60652
Phone: (312) 694-3189
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Akassi Estelle Grant, CNA, DRIVER is a driver in Chicago, IL. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Akassi Estelle Grant, CNA, DRIVER NPI is 1184145195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3413 W 76TH ST
CHICAGO, IL
ZIP 60652-404
Phone: (312) 694-3189

The enumeration date for this NPI number is 6/29/2017 and was last updated on 7/28/2020.

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	License Number	License State	Primary
1	172A00000X	Driver	G653-0057-3964	ILLINOIS	Yes
2	347C00000X	Private Vehicle	G653-0057-3964	ILLINOIS	No
3	372500000X	Chore Provider	1401102818	VIRGINIA	No
4	376K00000X	Nurse's Aide	1401102818	VIRGINIA	No

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	80-0942613	OTHER	ILLINOIS	TRANSPORTATION SERVICES

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: 11/14/2023

NPI Synchronization or Removal

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