Individual
TAWANNA HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11001 S MICHIGAN AVE STE 400, CHICAGO, IL 60628-4308
(773) 251-9097
Mailing address
PO BOX 53651, CHICAGO, IL 60653-0651
(773) 251-9097
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
06/24/2022
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