Individual
SHATONNA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16431 DOBSON AVE, SOUTH HOLLAND, IL 60473-2512
(773) 678-0886
Mailing address
16431 DOBSON AVE, SOUTH HOLLAND, IL 60473-2512
(773) 678-0886
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
IL
342000000X
Transportation Network Company
—
IL
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
07/15/2024
Last updated
07/22/2024
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