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Individual

GLENDA SHORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4423 S PRAIRIE AVE APT G, CHICAGO, IL 60653-3202
(312) 622-6133
Mailing address
4423 S PRAIRIE AVE APT G, CHICAGO, IL 60653-3202
(312) 622-6133

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
01/27/2020
Last updated
02/11/2020
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