Individual provider · Type 1 NPI

Antrone McIntosh

Driver · Park Forest, IL

NPI number 1891567699 Active

Practice location

409 Watseka St
Park Forest, IL 60466-1307

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XM25301084253 (IL)

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

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About NPI 1891567699

Antrone McIntosh's National Provider Identifier is 1891567699, issued on Oct 25, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Park Forest, IL. The record was last updated on Oct 25, 2023.