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Ellen Kimberly Jackson
Non-emergency Medical Transport (VAN) in Riverdale, Illinois
NPI 1730353400

Ellen Kimberly Jackson is a Non-emergency Medical Transport (VAN) based in Riverdale, IL. Ellen Kimberly Jackson practices in Riverdale, IL. The NPI Number for Ellen Kimberly Jackson is 1730353400 and holds a License No. (Illinois).

The current practice location address for Ellen Kimberly Jackson is 14122 S Wabash Ave, Riverdale, IL and can be reached out via phone at 708-841-9473 and via fax at 708-880-0172.

Location: 14122 S Wabash Ave, Riverdale, IL, 60827-2236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730353400
Provider Name
Ellen Kimberly Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
14122 S Wabash Ave, Riverdale, IL, 60827-2236
Phone Number
708-841-9473
Fax Number
708-880-0172
Provider Enumeration Date
04/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14122 S Wabash Ave
City
Riverdale
State
Illinois
Zip
60827-2236
Phone Number
708-841-9473
Fax Number
708-880-0172
person
Provider Business Mailing Address Details
Address
14122 S Wabash Ave
City
Riverdale
State
Illinois
Zip
60827-2236
Phone Number
708-841-9473
Fax Number
708-880-0172
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(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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