EMERYLE D LADD

FOREST PARK, IL
NPI1194261776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172A00000X Driver
Additional Taxonomies171000000X Military Health Care Provider
174400000X Specialist
Enumeration Date2017-01-06
Last Update Date2017-01-06
Business Address
-- EMERYLE D LADD
1117 S. HARLEM UNIT 1
FOREST PARK, IL 60130
Phone number: 708-506-9466
Mailing Address
-- EMERYLE D LADD
1117 S. HARLEM UNIT 1
FOREST PARK, IL 60130
Phone number: 708-506-9466