Individual
ABIOLA IDRIS KAMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1136 E 90TH ST, CHICAGO, IL 60619-7936
(312) 804-1847
Mailing address
1136 E 90TH ST, CHICAGO, IL 60619-7936
(312) 804-1847
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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