Patricia A Magsby
Individual provider Active NPI Private Vehicle · Sauk Village, IL
NPI 1386127702 · NPPES record last updated Sep 11, 2018
Key facts
- NPI
- 1386127702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- License
- H184554 (IL)
- Practice address
- 2119 E 223Rd St
Sauk Village, IL 60411-5030 - Phone
- (708) 513-4243
- NPI assigned
- Sep 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H184554 | IL | MD | Private Vehicle |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | H184554 | IL | Yes |
Addresses
Primary practice location
2119 E 223Rd St
Sauk Village, IL 60411-5030
Mailing address
2119 E 223Rd St
Sauk Village, IL 60411-5030
Phone (708) 513-4243
Other providers in Sauk Village, IL
- Tobias Lewis
- Life Line Pillar Homes
- Local Worx Community Space
- Lusi Home Care Agency
- Macky Express LLC
- Iesha Mason
- Medical Behavioral Center
- Manuel Mendez
- Willie Morris III
- National Youth Advocate Program, Inc
All providers in Sauk Village, IL · Private Vehicle in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.