Organization
WILLIS TRANSPORTATION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTOINE WILLIS (OWNER)
(773) 756-7894
Entity
Organization
Contact information
Practice address
6518 16TH ST, BERWYN, IL 60402-1310
(773) 756-7894
Mailing address
6518 16TH ST, BERWYN, IL 60402-1310
(773) 756-7894
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
W42000082307
IL
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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