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Organization

CROWN MEDICARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ADEREMI OTESILE (CEO)
(708) 338-3305
Entity
Organization

Contact information

Practice address
2243 S 24TH AVE, BROADVIEW, IL 60155-3820
(708) 338-3305
(708) 338-3306
Mailing address
2243 S 24TH AVE, BROADVIEW, IL 60155-3820
(708) 338-3305
(708) 338-3306

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
IL

Other

Enumeration date
06/11/2008
Last updated
06/11/2008
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