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Jacob Ediba
Non-emergency Medical Transport (VAN) in Rantoul, Illinois
NPI 1871950782

Jacob Ediba is a Non-emergency Medical Transport (VAN) based in Rantoul, IL. Jacob Ediba practices in Rantoul, IL. The NPI Number for Jacob Ediba is 1871950782 and holds a License No. MCS-10-0005-0464R1 (Illinois).

The current practice location address for Jacob Ediba is 273 Keystone Dr Apt 5, Rantoul, IL and can be reached out via phone at 217-418-7384.

Location: 273 Keystone Dr Apt 5, Rantoul, IL, 61866-2774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871950782
Provider Name
Jacob Ediba
Credential
Provider Entity Type
Individual
Gender
Male
Address
273 Keystone Dr Apt 5, Rantoul, IL, 61866-2774
Phone Number
217-418-7384
Fax Number
Provider Enumeration Date
01/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
273 Keystone Dr Apt 5
City
Rantoul
State
Illinois
Zip
61866-2774
Phone Number
217-418-7384
Fax Number
person
Provider Business Mailing Address Details
Address
273 Keystone Dr Apt 5
City
Rantoul
State
Illinois
Zip
61866-2774
Phone Number
217-418-7384
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
MCS-10-0005-0464R1 (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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