Individual provider · Type 1 NPI

Telly R. Shelton Sr.

Private Vehicle · Chicago, IL

NPI number 1811373418 Active

Practice location

7810 S Euclid Ave, 2S
Chicago, IL 60649-4626

Call (708) 502-3718 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XS43581676353 (IL)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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About NPI 1811373418

Telly R. Shelton Sr.'s National Provider Identifier is 1811373418, issued on Aug 5, 2015. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Chicago, IL. The record was last updated on Nov 9, 2015.