Organization
AMAZING GRACE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEWALE SAMUEL (MANAGER)
(708) 365-6045
Entity
Organization
Contact information
Practice address
18401 DARTRY DR, COUNTRY CLUB HILLS, IL 60478-5295
(708) 365-6045
Mailing address
18401 DARTRY DR, COUNTRY CLUB HILLS, IL 60478-5295
(708) 365-6045
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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