Healthcare Provider Details

I. General information

NPI: 1164304598
Provider Name (Legal Business Name): KEXITO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 07/25/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11513 S VILLA CT APT 1A
ALSIP IL
60803-4365
US

IV. Provider business mailing address

11513 S VILLA CT APT 1A
ALSIP IL
60803-4365
US

V. Phone/Fax

Practice location:
  • Phone: 708-631-7232
  • Fax:
Mailing address:
  • Phone: 708-631-7232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: KATY CHAVEZ
Title or Position: OWNER
Credential:
Phone: 708-631-7232