MS. Carol Womack, PROVIDER
NPI #1255974598 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1255974598
- Entity Type
- Individual
- Name
- MS. Carol Womack, PROVIDER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Credential
- PROVIDER
- Enumeration Date
- Oct 18, 2019
- Last Updated
- Oct 18, 2019
Practice Location
- Address
- 17205 HOLMES AVE
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-1708
- Phone
- (708) 692-1811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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