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NPI Code Detail

MEDICARE: ANTHONY FIELDS

MEDICARE: ANTHONY FIELDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1902504913
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY FIELDS
Provider Business Mailing Address
First Line : 2422 N CLYBOURN AVE APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60614-1918
Country : US
Telephone Number : 773-677-3273
Fax Number :
Provider Business Practice Location Address
First Line : 2422 N CLYBOURN AVE APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60614-1918
Country : US
Telephone Number : 773-677-3273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2023
Last Update Date : 06/12/2023

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Directions to “ ANTHONY FIELDS ” Practice Location

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