Organization
REGISTERED MEDI CALL MOTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA LAWSON (MEMBER)
(708) 663-0844
Entity
Organization
Contact information
Practice address
4060 W 115TH ST APT 203, CHICAGO, IL 60655-4342
(708) 663-0844
Mailing address
4060 W 115TH ST APT 203, CHICAGO, IL 60655-4342
(708) 663-0844
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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