Organization
NARCRISSA BERRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARCRISSA BERRY (TRANSPORTION PROVIDER)
(630) 667-4490
Entity
Organization
Contact information
Practice address
4308 KLATT ST, PLANO, IL 60545-2230
(630) 667-4490
Mailing address
4308 KLATT ST, PLANO, IL 60545-2230
(630) 667-4490
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
B60062176904
IL
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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