Individual
MR. JOVON MALIK MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19901 TERRACE AVE, LYNWOOD, IL 60411-1309
(773) 858-7378
(708) 251-5060
Mailing address
19901 TERRACE AVE, LYNWOOD, IL 60411-1309
(773) 858-7378
(708) 251-5060
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
M23543381018
IL
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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