Individual provider · Type 1 NPI
Shavonda Latrice Fields
Driver · Chicago, IL
NPI number
1730851932
Active
Practice location
1429 S Kedvale Ave
Chicago, IL 60623-1246
Mailing address
3473 S King Dr # 215
Chicago, IL 60616-4108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | F432-5915-7927 (IL) |
| Pastoral Counselor | 101YP1600X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Private Vehicle | 347C00000X | None listed |
| Adult Companion | 372600000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1730851932
Shavonda Latrice Fields's National Provider Identifier is 1730851932, issued on Oct 5, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 5, 2021.