Individual
MR. KEVAN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10132 S BEVERLY AVE, CHICAGO, IL 60643-1381
(773) 233-6225
(773) 233-2214
Mailing address
10132 S BEVERLY AVE, CHICAGO, IL 60643-1381
(773) 233-6225
(773) 233-2214
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
001
IL
Other
Enumeration date
08/29/2014
Last updated
07/21/2022
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