Individual
ASIA SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3011 POLLY LN, FLOSSMOOR, IL 60422-1720
(708) 690-9740
Mailing address
3011 POLLY LN, FLOSSMOOR, IL 60422-1720
(708) 690-9740
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
01/18/2023
Last updated
02/10/2023
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