SOUTHSIDE ASSISTANTS INC. NPI 1619180106

NPI Information

NPI: 1619180106
Provider Name: SOUTHSIDE ASSISTANTS, INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
21200 S LAGRANGE RD
SUITE 134
FRANKFORT, IL
ZIP 60423
Phone: (708) 256-0816
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SOUTHSIDE ASSISTANTS, INC. is a family nurse practitioner in Frankfort, IL. SOUTHSIDE ASSISTANTS, INC. NPI is 1619180106. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21200 S LAGRANGE RD
SUITE 134
FRANKFORT, IL
ZIP 60423-003
Phone: (708) 256-0816
Fax: (815) 534-5576

The provider's authorized official is Brian Johnson .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (708) 256-0816.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 10/11/2011.

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	363LF0000X	Nurse Practitioner	Family	209009090	ILLINOIS	Yes

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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