NPI 1295592640

Danielle N Wilkins-Travis

Practitioner Driver Homewood, IL

Practice location

Address: 18608 Lyn CT, Homewood, IL 60430-3855
Phone: (708) 400-9075

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence W42517476871 (IL)

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Registry record

NPI: 1295592640
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2024
Record last updated: 4 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.