Individual provider · Type 1 NPI

Mathis Sutherlin

Driver · Chicago, IL

NPI number 1851034946 Active

Practice location

6611 S Champlain Ave
Chicago, IL 60637-4101

Call (312) 709-7158 Map

Mailing address

6611 S Champlain Ave # 4
Chicago, IL 60637-4101

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XS36454084348 (IL)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1851034946

Mathis Sutherlin's National Provider Identifier is 1851034946, issued on Apr 16, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 16, 2022.