Organization
NUSHAPE ILLINOIS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL DUPREY (DIRECTOR)
(815) 570-9733
Entity
Organization
Contact information
Practice address
1154 S 7TH AVE, KANKAKEE, IL 60901-4708
(815) 570-9733
Mailing address
1154 S 7TH AVE, KANKAKEE, IL 60901-4708
(815) 570-9733
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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