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1710734561
LAKESHORE CCO INC
CHICAGO, IL
NPI
1710734561
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Entity Type
Organization
Authorized Contact
CIPRIAN OPRISOR
Owner
773-656-8396
Organization Subpart ?
No
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2024-05-01
Last Update Date
2024-05-01
Business Address
LAKESHORE CCO INC
6960 N BELL AVE APT 306
CHICAGO, IL 60645-4857
Phone number: 773-656-8396
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Mailing Address
LAKESHORE CCO INC
6960 N BELL AVE
CHICAGO, IL 60645-4868
Phone number: 773-656-8396
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