QUENTIN CROCKETT

Non-emergency Medical Transport (VAN)

Active Individual
NPI: 1053853010

Practice Address

19712 CRESCENT AVE
Lynwood, IL 60411

Phone: (773) 886-2626

Specialties

Specialty Code Primary License
Non-emergency Medical Transport (VAN) 343900000X Yes -

Frequently Asked Questions

NPI 1053853010 is the National Provider Identifier for QUENTIN CROCKETT, a Non-emergency Medical Transport (VAN) provider located in Lynwood, IL. This NPI was enumerated on November 8, 2016.
QUENTIN CROCKETT practices at 19712 CRESCENT AVE, Lynwood, IL 60411.

Quick Facts

NPI
1053853010
Type
Individual
Enumerated
Nov 8, 2016
Last Updated
Nov 8, 2016

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