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Organization

CHARIOT MASTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY BORJA (MANAGER)
(630) 303-7990
Entity
Organization

Contact information

Practice address
1905 WILD ROSE TRL, JOLIET, IL 60431-8871
(630) 303-7990
(815) 609-5110
Mailing address
1905 WILD ROSE TRL, JOLIET, IL 60431-8871
(630) 303-7990
(815) 609-5110

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
22328LY
IL

Other

Enumeration date
02/10/2009
Last updated
02/10/2009
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