Organization
T.J. MORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR JEROME DENSMORE (PRESIDENT)
(773) 791-6921
Entity
Organization
Contact information
Practice address
2743 W CONGRESS PKWY, APT 1W, CHICAGO, IL 60612-3485
(773) 791-6921
Mailing address
2313 S 25TH AVE, BROADVIEW, IL 60155-3826
(773) 791-6921
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D52580090075
IL
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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