Organization
AWESOME STAR ENTERPRISE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEWANA REESE (OWNER)
(773) 531-9787
Entity
Organization
Contact information
Practice address
15525 S PARK AVE, SUITE 100, SOUTH HOLLAND, IL 60473-1308
(708) 357-1052
(888) 510-2447
Mailing address
15525 S PARK AVE, SUITE 100, SOUTH HOLLAND, IL 60473-1308
(708) 357-1052
(888) 510-2447
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
ZZ
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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