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Mr. Jovon Malik Mcdonald
Non-emergency Medical Transport (VAN) in Lynwood, Illinois
NPI 1528224102

Jovon Malik Mcdonald is a Non-emergency Medical Transport (VAN) based in Lynwood, IL. Jovon Malik Mcdonald practices in Lynwood, IL. The NPI Number for Jovon Malik Mcdonald is 1528224102 and holds a License No. M23543381018 (Illinois).

The current practice location address for Jovon Malik Mcdonald is 19901 Terrace Ave, Lynwood, IL and can be reached out via phone at 773-858-7378 and via fax at 708-251-5060.

Location: 19901 Terrace Ave, Lynwood, IL, 60411-1309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528224102
Provider Name
Jovon Malik Mcdonald
Credential
Provider Entity Type
Individual
Gender
Male
Address
19901 Terrace Ave, Lynwood, IL, 60411-1309
Phone Number
773-858-7378
Fax Number
708-251-5060
Provider Enumeration Date
08/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19901 Terrace Ave
City
Lynwood
State
Illinois
Zip
60411-1309
Phone Number
773-858-7378
Fax Number
708-251-5060
person
Provider Business Mailing Address Details
Address
19901 Terrace Ave
City
Lynwood
State
Illinois
Zip
60411-1309
Phone Number
773-858-7378
Fax Number
708-251-5060
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
M23543381018 (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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