Organization
KJR DEPOT INC
Active
Other names
kjr inc
Organization subpart
No
Provider details
NPI number
Authorized official
KL ANDERSON (OWNER)
(630) 202-7379
Entity
Organization
Contact information
Practice address
4740 W FULTON ST, CHICAGO, IL 60644-2713
(630) 202-7379
Mailing address
PO BOX 605, FOREST PARK, IL 60130-0605
(630) 202-7379
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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