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1891512745
ROGER WILSON
CHICAGO, IL
NPI
1891512745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2024-09-23
Last Update Date
2024-09-23
Business Address
ROGER WILSON
5225 S PEORIA ST
CHICAGO, IL 60609-6135
Phone number: 773-382-6558
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Mailing Address
ROGER WILSON
5225 S PEORIA ST
CHICAGO, IL 60609-6135
Phone number: 773-382-6558
Copy
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