Individual
MRS. HATTIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 N HARVARD AVE, VILLA PARK, IL 60181-2067
(630) 538-2782
Mailing address
245 N HARVARD AVE, VILLA PARK, IL 60181-2067
(630) 538-2782
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
16948PT
IL
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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