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General NPI Number Information
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NPI Number | 1063014215
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Entity Type | Organization
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Legal Business Name | CHICAGO EXPRESS TRANSPORTATION
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 11/15/2020
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Provider Practice Location Address
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Address Line | 4325 FRONTAGE RD
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City | OAK FOREST
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State | IL
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Zip | 60452-4628
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Country | US
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Telephone | 708-738-0660
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Fax |
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Provider Business Mailing Address
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Address Line | 191 MACARTHUR DR APT 3511
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City | WILLOWBROOK
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State | IL
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Zip | 60527-3777
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Country | US
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Telephone | 708-738-0660
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Fax |
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | AHMAD SHALAN
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Credential |
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Telephone | 708-738-0660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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