Individual
MARY EUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7542 S LUELLA AVE, CHICAGO, IL 60649-3223
(708) 990-0060
Mailing address
1432 W 21ST ST APT 6, CHICAGO, IL 60608-2226
(708) 990-0060
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-4149100
—
IL
Enumeration date
04/12/2021
Last updated
04/12/2021
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