Mac Limousine Service INC

NPI #1962115857 in Chicago, Illinois

Provider Information

NPI Number: 1962115857
Entity Type: Organization
Organization Name: Mac Limousine Service INC
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Jan 5, 2023
Last Updated: Jan 19, 2023

Practice Location

Address: 347 S CICERO AVE
City: Chicago
State: Illinois
ZIP Code: 60644-4905
Phone: (773) 746-1399

Authorized Official

Name: DERRICK DAMON MCCOLLUM
Title: CEO
Phone: (773) 746-1399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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