Individual
JENIECE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 STONEGATE RD, BOLINGBROOK, IL 60440-3637
(312) 688-4524
Mailing address
360 STONEGATE RD, BOLINGBROOK, IL 60440-3637
(312) 688-4524
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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