MARLON FAULKNER

CHICAGO, IL
NPI1235447210
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: IL  10138PT)
Enumeration Date2010-09-23
Last Update Date2010-09-23
Business Address
MR. MARLON FAULKNER
6058 W FULLERTON AVE
CHICAGO, IL 60639-2243
Phone number: 773-828-6045
Mailing Address
MR. MARLON FAULKNER
6058 W FULLERTON AVE
CHICAGO, IL 60639-2243
Phone number: 773-828-6045