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Gloria M Rosenthal
Driver in Kankakee, Illinois
NPI 1548636772

Gloria M Rosenthal is a Driver based in Kankakee, IL. Gloria M Rosenthal practices in Kankakee, IL. The NPI Number for Gloria M Rosenthal is 1548636772 and holds a License No. R25329365864 (Illinois).

The current practice location address for Gloria M Rosenthal is 411 S Lincoln Ave, Kankakee, IL and can be reached out via phone at 815-939-7911.

Location: 411 S Lincoln Ave, Kankakee, IL, 60901-5529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548636772
Provider Name
Gloria M Rosenthal
Credential
Provider Entity Type
Individual
Gender
Female
Address
411 S Lincoln Ave, Kankakee, IL, 60901-5529
Phone Number
815-939-7911
Fax Number
Provider Enumeration Date
08/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
411 S Lincoln Ave
City
Kankakee
State
Illinois
Zip
60901-5529
Phone Number
815-939-7911
Fax Number
person
Provider Business Mailing Address Details
Address
411 S Lincoln Ave
City
Kankakee
State
Illinois
Zip
60901-5529
Phone Number
815-939-7911
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
R25329365864 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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