THERESIA FONGE

UNIVERSITY PARK, IL
NPI1003205279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2015-01-12
Last Update Date2015-01-12
Business Address
Ms. THERESIA FONGE
4790 HICKORY CREEK DR APT 8
UNIVERSITY PARK, IL 60484-2740
Phone number: 630-936-9862
Mailing Address
Ms. THERESIA FONGE
4790 HICKORY CREEK DR APT 8
UNIVERSITY PARK, IL 60484-2740
Phone number: 630-936-9862
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