Individual provider · Type 1 NPI

Stephanie Summers

Driver · Calumet City, IL

NPI number 1972779361 Active

Practice location

1594 Kenilworth Dr
Calumet City, IL 60409-6306

Fax (773) 667-9622

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XS56278166683 (IL)

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

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About NPI 1972779361

Stephanie Summers's National Provider Identifier is 1972779361, issued on May 5, 2008. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Calumet City, IL. The record was last updated on May 5, 2008.