Organization
S.G.C TRANSPORTATION L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY HOLMES (OWNER)
(312) 874-2142
Entity
Organization
Contact information
Practice address
6039 S CARPENTER ST, CHICAGO, IL 60621-1413
(312) 874-2142
Mailing address
14901 COTTAGE GROVE AVE, DOLTON, IL 60419-2109
(312) 874-2142
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/12/2022
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