Individual
GREGORY KEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 W JOHN CASEY RD APT 1, BOURBONNAIS, IL 60914-3217
(815) 922-1778
Mailing address
350 W JOHN CASEY RD APT 1, BOURBONNAIS, IL 60914-3217
(815) 922-1778
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
6826-421-9
IL
Other
Enumeration date
12/08/2021
Last updated
02/19/2022
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