ELLEN KIMBERLY JACKSON

RIVERDALE, IL
NPI1730353400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: IL  343900000X)
Enumeration Date2008-04-14
Last Update Date2008-04-14
Business Address
-- ELLEN KIMBERLY JACKSON
14122 S WABASH AVE
RIVERDALE, IL 60827-2236
Phone number: 708-841-9473
Mailing Address
-- ELLEN KIMBERLY JACKSON
14122 S WABASH AVE
RIVERDALE, IL 60827-2236
Phone number: 708-841-9473
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