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Organization

ACUSTOM TRANSPORT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIE COOPER (PRESDIENT)
(219) 440-2889
Entity
Organization

Contact information

Practice address
800 E 191ST PL APT 412, GLENWOOD, IL 60425-1936
(219) 440-2889
(312) 624-7920
Mailing address
800 E 191ST PL APT 412, GLENWOOD, IL 60425-1936
(219) 440-2889
(312) 624-7920

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
05/23/2018
Last updated
05/23/2018
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