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Antrone Mcintosh
Driver in Park Forest, Illinois
NPI 1891567699

Antrone Mcintosh is a Driver based in Park Forest, IL. Antrone Mcintosh practices in Park Forest, IL. The NPI Number for Antrone Mcintosh is 1891567699 and holds a License No. M25301084253 (Illinois).

The current practice location address for Antrone Mcintosh is 409 Watseka St, Park Forest, IL and can be reached out via phone at 773-648-3680.

Location: 409 Watseka St, Park Forest, IL, 60466-1307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891567699
Provider Name
Antrone Mcintosh
Credential
Provider Entity Type
Individual
Gender
Male
Address
409 Watseka St, Park Forest, IL, 60466-1307
Phone Number
773-648-3680
Fax Number
Provider Enumeration Date
10/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
409 Watseka St
City
Park Forest
State
Illinois
Zip
60466-1307
Phone Number
773-648-3680
Fax Number
person
Provider Business Mailing Address Details
Address
409 Watseka St
City
Park Forest
State
Illinois
Zip
60466-1307
Phone Number
773-648-3680
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
M25301084253 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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