Individual provider · Type 1 NPI

Gloria M. Rosenthal

Driver · Kankakee, IL

NPI number 1548636772 Active

Practice location

411 S Lincoln Ave
Kankakee, IL 60901-5529

Call (815) 939-7911 Map

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XR25329365864 (IL)
Driver Primary 172A00000XR25316054101 (IL)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1548636772

Gloria M. Rosenthal's National Provider Identifier is 1548636772, issued on Aug 11, 2015. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Kankakee, IL. The record was last updated on Aug 11, 2015.