Individual
PAULA K RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3126 WOODWORTH PL, HAZEL CREST, IL 60429-1643
(708) 288-6445
Mailing address
3126 WOODWORTH PL, HAZEL CREST, IL 60429-1643
(708) 288-6445
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
BN45307
IL
347C00000X
Private Vehicle
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—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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