Organization
NEEALY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKITA JOHNSON-NEEALY (OWNER)
(773) 412-0192
Entity
Organization
Contact information
Practice address
1458 W 123RD ST, CHICAGO, IL 60643-5768
(773) 412-0192
Mailing address
1458 W 123RD ST, CHICAGO, IL 60643-5768
(773) 412-0192
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
N40062376878
IL
Other
Enumeration date
09/08/2010
Last updated
09/09/2010
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