Kara Giles

Individual provider Active NPI Private Vehicle · Chadwick, IL

NPI 1891926580 · NPPES record last updated Jul 29, 2009

Key facts

NPI
1891926580
Entity type
Individual (NPI type 1)
Primary specialty
Private Vehicle 347C00000X
License
G420-5138-6824 (IL)
Practice address
23142 Pioneer Rd
Chadwick, IL 61014-9324
Phone
(815) 990-8667
NPI assigned
Jul 29, 2009
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

LicenseStateTypeSpecialty
G420-5138-6824ILMDPrivate Vehicle

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X G420-5138-6824 IL Yes

Addresses

Primary practice location

23142 Pioneer Rd
Chadwick, IL 61014-9324

Mailing address

23142 Pioneer Rd
Chadwick, IL 61014-9324

Other providers in Chadwick, IL

All providers in Chadwick, IL · Private Vehicle in Illinois

Sources for this page

Verify at the official NPI Registry.