Individual provider · Type 1 NPI
Charles E. Mathis Ii
Driver · Flossmoor, IL
NPI number
1194697565
Active
Practice location
1635 Princeton Rd
Flossmoor, IL 60422-1937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Flossmoor
About NPI 1194697565
Charles E. Mathis Ii's National Provider Identifier is 1194697565, issued on Sep 23, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Flossmoor, IL. The record was last updated on Sep 23, 2025.