person
Mr. Thomas Waller
Driver in South Holland, Illinois
NPI 1518113067

Thomas Waller is a Driver based in South Holland, IL. Thomas Waller practices in South Holland, IL. The NPI Number for Thomas Waller is 1518113067 and holds a License No. W46082583086 (Illinois).

The current practice location address for Thomas Waller is 430 E 162Nd St, South Holland, IL and can be reached out via phone at 773-895-3921 and via fax at 708-575-0432. You can also correspond with Thomas Waller through the mailing address at 430 E 162ND ST, SOUTH HOLLAND, IL - 60473-2258 (mailing address contact number: 773-895-3921).

Location: 430 E 162Nd St, South Holland, IL, 60473-2258
person
Provider Profile Details
NPI Number
1518113067
Provider Name
Thomas Waller
Credential
Provider Entity Type
Individual
Gender
Male
Address
430 E 162Nd St, South Holland, IL, 60473-2258
Phone Number
773-895-3921
Fax Number
708-575-0432
Provider Enumeration Date
08/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
430 E 162Nd St
City
State
Zip
60473-2258
Phone Number
773-895-3921
Fax Number
708-575-0432
person
Provider Business Mailing Address Details
Address
430 E 162Nd St
City
State
Zip
60473-2258
Phone Number
773-895-3921
Fax Number
708-575-0432
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
W46082583086 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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