Individual
MRS. DIANNE N TRAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8016 SO. IL. ROUTE 23, MARENGO, IL 60152
(815) 451-9865
(815) 568-7397
Mailing address
8016 SO. IL. ROUTE 23, MARENGO, IL 60152
(815) 451-9865
(815) 568-7397
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T62617457621
IL
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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