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Mr. Samuel Oppong
Driver in Downers Grove, Illinois
NPI 1124730692

Samuel Oppong is a Driver based in Downers Grove, IL. Samuel Oppong practices in Downers Grove, IL. The NPI Number for Samuel Oppong is 1124730692 and holds a License No. 015278076119 (Illinois).

The current practice location address for Samuel Oppong is 6305 Woodward Ave, Downers Grove, IL and can be reached out via phone at 630-506-3530 and via fax at 630-512-0895.

Location: 6305 Woodward Ave, Downers Grove, IL, 60516-2311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124730692
Provider Name
Samuel Oppong
Credential
Provider Entity Type
Individual
Gender
Male
Address
6305 Woodward Ave, Downers Grove, IL, 60516-2311
Phone Number
630-506-3530
Fax Number
630-512-0895
Provider Enumeration Date
12/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
871289761 05 IL
institution
Provider Business Practice Location Address Details
Address
6305 Woodward Ave
City
Downers Grove
State
Illinois
Zip
60516-2311
Phone Number
630-506-3530
Fax Number
630-512-0895
person
Provider Business Mailing Address Details
Address
6305 Woodward Ave
City
Downers Grove
State
Illinois
Zip
60516-2311
Phone Number
630-506-3530
Fax Number
630-512-0895
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
015278076119 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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