Tatisha Clemons - Chicago, IL

Tatisha Clemons

Non-emergency Medical Transport (VAN) in Chicago, Illinois

NPI 1265887939

Tatisha Clemons is a Non-emergency Medical Transport (VAN) based in Chicago, IL. Tatisha Clemons practices in Chicago, IL. The NPI Number for Tatisha Clemons is 1265887939 and holds a License No. (Illinois).

The current practice location address for Tatisha Clemons is 10507 S Western Ave, Chicago, IL and can be reached out via phone at 773-425-4702 and via fax at 773-634-8092.

Location: 10507 S Western Ave, Chicago, IL, 60643-2527

NPI Number

1265887939

Provider Name

Tatisha Clemons

Credential

Provider Entity Type

Individual

Gender

Female

Address

10507 S Western Ave, Chicago, IL, 60643-2527

Phone Number

773-425-4702

Fax Number

773-634-8092

Provider Enumeration Date

04/29/2016

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
7666510	05	IL

Address

10507 S Western Ave

City

Chicago

State

Illinois

Zip

60643-2527

Phone Number

773-425-4702

Fax Number

773-634-8092

Address

10507 S Western Ave

City

Chicago

State

Illinois

Zip

60643-2527

Phone Number

773-425-4702

Fax Number

773-634-8092

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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