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Mr. Telly R Shelton SR.
Private Vehicle in Chicago, Illinois
NPI 1811373418

Telly R Shelton SR. is a Private Vehicle based in Chicago, IL. Telly R Shelton SR. practices in Chicago, IL. The NPI Number for Telly R Shelton SR. is 1811373418 and holds a License No. S43581676353 (Illinois).

The current practice location address for Telly R Shelton SR. is 7810 S Euclid Ave, Chicago, IL and can be reached out via phone at 708-502-3718.

Location: 7810 S Euclid Ave, Chicago, IL, 60649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811373418
Provider Name
Telly R Shelton SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
7810 S Euclid Ave, Chicago, IL, 60649
Phone Number
708-502-3718
Fax Number
Provider Enumeration Date
08/05/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811373418 01 IL MEDICAL PROVIDER
institution
Provider Business Practice Location Address Details
Address
7810 S Euclid Ave
City
Chicago
State
Illinois
Zip
60649-4626
Phone Number
708-502-3718
Fax Number
person
Provider Business Mailing Address Details
Address
7810 S Euclid Ave
City
Chicago
State
Illinois
Zip
60649-4626
Phone Number
708-502-3718
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
S43581676353 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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