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1376097006
ABDULLATIF ABDALLAH
CHICAGO, IL
NPI
1376097006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: IL 81-3508998)
Enumeration Date
2016-08-11
Last Update Date
2016-08-11
Business Address
-- ABDULLATIF ABDALLAH
920 W LAKESIDE PL APT # 1401
CHICAGO, IL 60640-5175
Phone number: 773-407-1799
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Mailing Address
-- ABDULLATIF ABDALLAH
920 W LAKESIDE PL APT # 1401
CHICAGO, IL 60640-5175
Phone number: 773-407-1799
Copy
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