Organization
THORNTON TOWNSHIP YOUTH COMMITTEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. L. WEEMS (DIRECTOR)
17085966046
Entity
Organization
Contact information
Practice address
14323 S HALSTED ST, RIVERDALE, IL 60827-2330
(170) 859-6604
Mailing address
14323 S HALSTED ST, RIVERDALE, IL 60827-2330
(170) 859-6604
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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