Organization
SMSM SENIORS SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIFEIN MIKHAIEL (OWNER)
(813) 735-5412
Entity
Organization
Contact information
Practice address
16W115 HILLSIDE LN, BURR RIDGE, IL 60527-6269
(813) 735-5412
(630) 444-7571
Mailing address
16W115 HILLSIDE LN, BURR RIDGE, IL 60527-6269
(813) 735-5412
(639) 444-7571
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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