Organization
INTERN GOODS MED DELIVERY SERVICE
Active
Other names
Intern Goods Med Delivery Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB EKOUE (OWNER)
(708) 969-1928
Entity
Organization
Contact information
Practice address
5259 DRAKE LN, MATTESON, IL 60443-1611
(708) 969-1928
Mailing address
5258 DRAKE LN STREET, MATTESON, IL 60443
(708) 969-1928
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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