Individual
INNOCENT CHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 RESERVE DR, ELGIN, IL 60124-8828
(630) 901-8400
Mailing address
1021 RESERVE DR, ELGIN, IL 60124-8828
(630) 901-8400
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C000-4067-0101
IL
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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