NPI 1073254900
Made Essential
Practice location
- Address
- 6684 Snowcloud Dr, Rockford, IL 61108-6864
- Phone
- (815) 670-9477
Authorised official
- Name
- Christina Shanae Graham
- Title
- Manager
- Phone
- (815) 670-9477
Registered specialties
Transportation Network Company
Primary
Registry record
- NPI
- 1073254900
- Entity type
- Organization
- NPI issued
- 5 Apr 2022
- Record last updated
- 5 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.