Individual
SHAKITA REBECCA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 FARRAGUT ST, PARK FOREST, IL 60466-1110
(773) 397-7365
Mailing address
232 FARRAGUT ST, PARK FOREST, IL 60466-1110
(773) 397-7365
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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