Celeste Cade, LPN

Individual provider Active NPI Licensed Practical Nurse · Lynwood, IL

NPI 1326701178 · NPPES record last updated Oct 19, 2021

Key facts

NPI
1326701178
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
043118330 (IL)
Practice address
2851 201St PL
Lynwood, IL 60411-1581
Phone
(773) 367-4461
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
043118330ILMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 043118330 IL Yes

Addresses

Primary practice location

2851 201St PL
Lynwood, IL 60411-1581

Mailing address

2851 201St PL
Lynwood, IL 60411-1581

Other providers in Lynwood, IL

All providers in Lynwood, IL · Licensed Practical Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.