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Organization

TRANS-A-WAY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKEISHA BARNES (SOLE PROPRIETOR)
(312) 804-2141
Entity
Organization

Contact information

Practice address
4850 S LAKE PARK AVE, SUITE #210, CHICAGO, IL 60615-2130
(312) 804-2141
Mailing address
4850 S LAKE PARK AVE, SUITE #210, CHICAGO, IL 60615-2130

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
B652-5207-7812
IL

Other

Enumeration date
04/17/2013
Last updated
04/17/2013
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