Individual
EARNEST MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
916 W 77TH ST, APT #1, CHICAGO, IL 60620-2801
(773) 418-9659
Mailing address
916 W 77TH ST, APT #1, CHICAGO, IL 60620-2801
(773) 418-9659
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
M25420371068
IL
Other
Enumeration date
10/31/2015
Last updated
10/31/2015
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