Individual
VIRGINIA ANN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18509 SCHOOL ST APT 2B, LANSING, IL 60438-2946
(773) 844-1942
Mailing address
18509 SCHOOL ST APT 2B, LANSING, IL 60438-2946
(773) 844-1942
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
H40086159748
IA
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20190722011617
—
IL
05
—
2019072211617
—
IL
Enumeration date
07/23/2019
Last updated
07/23/2019
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