Individual
RONALD THOMAS COLEMAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16656 THORNTON AVE, SOUTH HOLLAND, IL 60473-2842
(773) 808-0673
(708) 893-0550
Mailing address
16656 THORNTON AVE, SOUTH HOLLAND, IL 60473-2842
(773) 808-0673
(708) 893-0550
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C45573861092
IL
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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