Loretta L Bayless

NPI #1326280462 in Markham, Illinois

Provider Information

NPI Number: 1326280462
Entity Type: Organization
Organization Name: Loretta L Bayless
Primary Specialty: Private Vehicle
Enumeration Date: Apr 6, 2009
Last Updated: Apr 6, 2009

Practice Location

Address: 15813 CLIFTON PARK AVE
City: Markham
State: Illinois
ZIP Code: 60428-3920
Phone: (312) 962-4415

Authorized Official

Name: MISS LORETTA L BAYLESS
Title: OWNER
Phone: (312) 962-4415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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