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
- City
- South Holland
- State
- Illinois
- 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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