Individual
MS. CAROL WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROVIDER
Contact information
Practice address
17205 HOLMES AVE, HAZEL CREST, IL 60429-1708
(708) 692-1811
Mailing address
17205 HOLMES AVE, HAZEL CREST, IL 60429-1708
(708) 692-1811
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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