Individual
AMANDA CREW- HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 E MONROE ST, CHICAGO, IL 60603-5713
(312) 725-3891
Mailing address
6951 S KING DR, CHICAGO, IL 60637-4613
(773) 997-1097
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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