Organization
NENEME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDIS EDOKPA MD (MANAGER)
(773) 977-9642
Entity
Organization
Contact information
Practice address
6201 SMOKEY RIDGE DR, PLAINFIELD, IL 60586-5563
(773) 977-9642
Mailing address
6201 SMOKEY RIDGE DR, PLAINFIELD, IL 60586-5563
(773) 977-9642
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9086
TRANSPORTING PATIENTS MEDICAL APPOINTMENTS
—
Enumeration date
08/11/2020
Last updated
08/11/2020
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