Healthcare Provider Details

I. General information

NPI: 1518702133
Provider Name (Legal Business Name): MOKINS HEALTHCARE STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N HAMMES AVE STE 205A
JOLIET IL
60435-6680
US

IV. Provider business mailing address

210 N HAMMES AVE STE 205A
JOLIET IL
60435-6680
US

V. Phone/Fax

Practice location:
  • Phone: 773-595-0851
  • Fax:
Mailing address:
  • Phone: 773-595-0851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FUNMILAYO AKINDILENI
Title or Position: ADMINISTRATOR
Credential: MD
Phone: 773-595-0851