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Ms. Theresia Fonge
Non-emergency Medical Transport (VAN) in University Park, Illinois
NPI 1003205279

Theresia Fonge is a Non-emergency Medical Transport (VAN) based in University Park, IL. Theresia Fonge practices in University Park, IL. The NPI Number for Theresia Fonge is 1003205279 and holds a License No. (Illinois).

The current practice location address for Theresia Fonge is 4790 Hickory Creek Dr, University Park, IL and can be reached out via phone at 630-936-9862.

Location: 4790 Hickory Creek Dr, University Park, IL, 60484-2740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003205279
Provider Name
Theresia Fonge
Credential
Provider Entity Type
Individual
Gender
Female
Address
4790 Hickory Creek Dr, University Park, IL, 60484-2740
Phone Number
630-936-9862
Fax Number
Provider Enumeration Date
01/12/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4790 Hickory Creek Dr
City
University Park
State
Illinois
Zip
60484-2740
Phone Number
630-936-9862
Fax Number
person
Provider Business Mailing Address Details
Address
4790 Hickory Creek Dr
City
University Park
State
Illinois
Zip
60484-2740
Phone Number
630-936-9862
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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