NPIMap

Organization Active NPI

Prince&Princess

  • Infusion Therapy Clinic/Center
  • Matteson, IL
National Provider Identifier
1386035889
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
License
041402048 Issued in IL
Legal business name
PRINCE&PRINCESS
Practice address
3630 214TH PL
Matteson, IL 60443-2704
Phone
(708) 374-1159
NPI assigned
Feb 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Nimat Nike Akorede, RN
Title
Owner
Phone
(708) 374-1159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X 041402048 IL Primary

Addresses

Primary practice location

3630 214TH PL
Matteson, IL 60443-2704

Mailing address

3630 214TH PL
Matteson, IL 60443-2704
Phone (708) 374-1159

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1386035889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 214TH PL",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432704",
            "telephone_number": "708-374-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 214TH PL",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432704",
            "telephone_number": "708-374-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE&PRINCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "AKOREDE",
        "authorized_official_first_name": "NIMAT",
        "authorized_official_middle_name": "NIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-374-1159",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "IL",
            "license": "041402048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.