Antrone Mcintosh

NPI #1891567699 in Park Forest, Illinois

Provider Information

NPI Number: 1891567699
Entity Type: Individual
Name: Antrone Mcintosh
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Oct 25, 2023
Last Updated: Oct 25, 2023

Practice Location

Address: 409 WATSEKA ST
City: Park Forest
State: Illinois
ZIP Code: 60466-1307
Phone: (773) 648-3680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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