Celeste Marie Cassin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043087046 Issued in IL

Practice address

10324 Ridgeland Ave Apt 203
Chicago Ridge, IL 60415-1522

Phone

(708) 997-9487

NPI assigned

Dec 16, 2020

Last updated

Dec 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Celeste Marie Chaimukda Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1366038077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 RIDGELAND AVE APT 203",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151522",
            "telephone_number": "708-997-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 RIDGELAND AVE APT 203",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151522",
            "telephone_number": "708-997-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIN",
        "first_name": "CELESTE",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043087046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "CHAIMUKDA",
            "middle_name": "MARIE",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Violet Hunter Cabot, M.S. CCC-SLP
• Cagles Dialysis LLC (Chicago Ridge Dialysis)
• Cardio-Medicine SC
• Jonathan Casabal, PTA
• Kaely Rose Cassidy, M.S., SLP/L
• Bassem Chaar, M.D.
• Abdullah B Chahin, MD
• Chicago Ridge Immediate Care Inc
• Chicago Ridge Medical Imaging, LLC
• Chicago Ridge Physical Therapy LLC

• Licensed Practical Nurse in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.