Organization
ROCKET SHUTTLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDHI KAKADIA (MANAGER)
(630) 800-1137
Entity
Organization
Contact information
Practice address
2320 GRAND AVE, WAUKEGAN, IL 60085-3313
(631) 220-7839
Mailing address
405 N WABASH AVE, CHICAGO, IL 60611-3591
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19029579
IL
Other
Enumeration date
02/12/2018
Last updated
03/17/2018
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