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Mr. Fritzgerald Charles
Private Vehicle in Lansing, Illinois
NPI 1174817548

Fritzgerald Charles is a Private Vehicle based in Lansing, IL. Fritzgerald Charles practices in Lansing, IL. The NPI Number for Fritzgerald Charles is 1174817548 and holds a License No. 6550040207 (Illinois).

The current practice location address for Fritzgerald Charles is 3623 173Rd Ct Apt 5C, Lansing, IL and can be reached out via phone at 773-801-8683.

Location: 3623 173Rd Ct Apt 5C, Lansing, IL, 60438-1444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174817548
Provider Name
Fritzgerald Charles
Credential
Provider Entity Type
Individual
Gender
Male
Address
3623 173Rd Ct Apt 5C, Lansing, IL, 60438-1444
Phone Number
773-801-8683
Fax Number
Provider Enumeration Date
06/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3623 173Rd Ct Apt 5C
City
Lansing
State
Illinois
Zip
60438-1444
Phone Number
773-801-8683
Fax Number
person
Provider Business Mailing Address Details
Address
3623 173Rd Ct Apt 5C
City
Lansing
State
Illinois
Zip
60438-1444
Phone Number
773-801-8683
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
6550040207 (Indiana)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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