Marine One, LLC
NPI #1720528912 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1720528912
- Entity Type
- Organization
- Organization Name
- Marine One, LLC
- Primary Specialty
- Private Vehicle
- Enumeration Date
- Mar 7, 2017
- Last Updated
- Mar 7, 2017
Practice Location
- Address
- 610 NEWCASTLE DR
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-2783
- Phone
- (847) 226-5458
Authorized Official
- Name
- MR. JOHN BAILEY HEMPSTEAD III
- Title
- PRESIDENT
- Phone
- (847) 226-5458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
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