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Individual

ANTONIO GILMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7916 S PRAIRIE AVE, CHICAGO, IL 60619-3606
(224) 538-0153
Mailing address
7916 S PRAIRIE AVE, CHICAGO, IL 60619-3606
(224) 538-0153

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
06/17/2021
Last updated
06/17/2021
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