Awesome Star Enterprise INC

NPI #1861863532 in South Holland, Illinois

Provider Information

NPI Number
1861863532
Entity Type
Organization
Organization Name
Awesome Star Enterprise INC
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Oct 7, 2015
Last Updated
Oct 7, 2015

Practice Location

Address
15525 S PARK AVE
Address 2
SUITE 100
ZIP Code
60473-1308
Phone
(708) 357-1052

Authorized Official

Name
KEWANA REESE
Title
OWNER
Phone
(773) 531-9787

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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