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1447030119
GLEN A LEWIS
OAK PARK, IL
NPI
1447030119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
GLEN A LEWIS
6955 NORTH AVE STE G3
OAK PARK, IL 60302-1052
Phone number: 773-213-0132
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Mailing Address
GLEN A LEWIS
6955 NORTH AVE STE G3
OAK PARK, IL 60302-1052
Phone number: 773-213-0132
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