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Mr. Gregory Peck Stapleton SR.
Non-emergency Medical Transport (VAN) in Dolton, Illinois
NPI 1417322165

Gregory Peck Stapleton SR. is a Non-emergency Medical Transport (VAN) based in Dolton, IL. Gregory Peck Stapleton SR. practices in Dolton, IL. The NPI Number for Gregory Peck Stapleton SR. is 1417322165 and holds a License No. D15141608 (Illinois).

The current practice location address for Gregory Peck Stapleton SR. is 15320 South Evers, Dolton, IL and can be reached out via phone at 708-551-6550.

Location: 15320 South Evers, Dolton, IL, 60419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417322165
Provider Name
Gregory Peck Stapleton SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
15320 South Evers, Dolton, IL, 60419
Phone Number
708-551-6550
Fax Number
Provider Enumeration Date
12/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15320 South Evers
City
Dolton
State
Illinois
Zip
60419
Phone Number
708-551-6550
Fax Number
person
Provider Business Mailing Address Details
Address
15320 South Evers
City
Dolton
State
Illinois
Zip
60419
Phone Number
708-551-6550
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
D15141608 (Illinois)
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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