Individual
TAZANNA TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5636 S SANGAMON ST, CHICAGO, IL 60621-2208
(309) 703-5609
Mailing address
5636 S SANGAMON ST, CHICAGO, IL 60621-2208
(309) 703-5609
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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