Donald Washington is a Driver based in Lynwood, IL. Donald Washington practices in Lynwood, IL. The NPI Number for Donald Washington is 1720358104 and holds a License No. (Illinois).
The current practice location address for Donald Washington is 2179 Aster Cir, Lynwood, IL and can be reached out via phone at 708-335-7329.
Location: 2179 Aster Cir, Lynwood, IL, 60411-8500
Provider Profile Details
NPI Number
1720358104
Provider Name
Donald Washington
Credential
Provider Entity Type
Individual
Gender
Male
Address
2179 Aster Cir, Lynwood, IL, 60411-8500
Phone Number
708-335-7329
Fax Number
Provider Enumeration Date
01/03/2012
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900414819-60411-01 | 05 | IL |
Provider Business Practice Location Address Details
Address
2179 Aster Cir
City
State
Zip
60411-8500
Phone Number
708-335-7329
Fax Number
Provider Business Mailing Address Details
Address
2179 Aster Cir
City
State
Zip
60411-8500
Phone Number
708-335-7329
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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