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Annie Mae Lundgren
Transportation Broker in Rockford, Illinois
NPI 1679171433

Annie Mae Lundgren is a Transportation Broker based in Rockford, IL. Annie Mae Lundgren practices in Rockford, IL. The NPI Number for Annie Mae Lundgren is 1679171433 and holds a License No. (Illinois).

The current practice location address for Annie Mae Lundgren is 7110 Forest Glen Dr Apt F, Rockford, IL and can be reached out via phone at 414-937-0454.

Location: 7110 Forest Glen Dr Apt F, Rockford, IL, 61114-8033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679171433
Provider Name
Annie Mae Lundgren
Credential
Provider Entity Type
Individual
Gender
Female
Address
7110 Forest Glen Dr Apt F, Rockford, IL, 61114-8033
Phone Number
414-937-0454
Fax Number
Provider Enumeration Date
10/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7110 Forest Glen Dr Apt F
City
Rockford
State
Illinois
Zip
61114-8033
Phone Number
414-937-0454
Fax Number
person
Provider Business Mailing Address Details
Address
7110 Forest Glen Dr Apt F
City
Rockford
State
Illinois
Zip
61114-8033
Phone Number
414-937-0454
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Transportation Broker
Speciality
-
Taxonomy
347E00000X
License No.
(Illinois)
Definition
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.
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