Individual
MS. MARIE JUDE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14411 S EGGLESTON AVE, RIVERDALE, IL 60827-2671
(708) 265-1636
(708) 893-0550
Mailing address
14411 S EGGLESTON AVE, RIVERDALE, IL 60827-2671
(708) 265-1636
(708) 893-0550
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
S53055073961
IL
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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