Provider Demographics
NPI:1487883211
Name:WASHINGTON, JOSEILYN MICHELLE
Entity type:Individual
Prefix:MS
First Name:JOSEILYN
Middle Name:MICHELLE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 W. 87TH STREET
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-3339
Mailing Address - Country:US
Mailing Address - Phone:773-715-3434
Mailing Address - Fax:
Practice Address - Street 1:1001 W. 87TH STREET
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-3339
Practice Address - Country:US
Practice Address - Phone:773-715-3434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)