Organization
MACKY EXPRESS LLC
Active
Organization
MACKY EXPRESS LLC
Active
Other names
Macky express llc
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ESIYEDEN (MANAGER)
(219) 707-3767
Entity
Organization
Contact information
Practice address
1619 216TH ST, SAUK VILLAGE, IL 60411-4409
(833) 627-1747
Mailing address
1619 216TH ST, SAUK VILLAGE, IL 60411-4409
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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