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 | 101YP1600X | Counselor | Pastoral | | | No |
| 2 | 172A00000X | Driver | | | | No |
| 3 | 172V00000X | Community Health Worker | | | | No |
| 4 | 208D00000X | General Practice | | 3002560 | ILLINOIS | No |
| 5 | 251G00000X | Hospice Care, Community Based | | | | No |
| 6 | 253Z00000X | In Home Supportive Care | | | | No |
| 7 | 332U00000X | Home Delivered Meals | | | | No |
| 8 | 347C00000X | Private Vehicle | | | | No |
| 9 | 171M00000X | Case Manager/Care Coordinator | | | | Yes |