Individual
SHIBU PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9013 N CLIFTON AVE, NILES, IL 60714-1421
(224) 435-9182
Mailing address
9013 N CLIFTON AVE, NILES, IL 60714-1421
(224) 435-9182
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/17/2018
Last updated
11/19/2018
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