EMERYLE LADD

Driver

Active Individual
NPI: 1194261776

Practice Address

1117 S. HARLEM
UNIT 1
Forest Park, IL 60130

Phone: (708) 506-9466

Specialties

Specialty Code Primary License
Military Health Care Provider 171000000X No -
Driver 172A00000X Yes -
Specialist 174400000X No -

Frequently Asked Questions

NPI 1194261776 is the National Provider Identifier for EMERYLE LADD, a Driver provider located in Forest Park, IL. This NPI was enumerated on January 6, 2017.
EMERYLE LADD practices at 1117 S. HARLEM, UNIT 1, Forest Park, IL 60130.

Quick Facts

NPI
1194261776
Type
Individual
Enumerated
Jan 6, 2017
Last Updated
Jan 6, 2017

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