Individual
IYSHA A OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6546 S CAMPBELL AVE, CHICAGO, IL 60629-1309
(773) 219-9612
Mailing address
6546 S CAMPBELL AVE, CHICAGO, IL 60629-1309
(773) 219-9612
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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