ANNIE MAE LUNDGREN


Address: 7110 Forest Glen Dr Apt F, Rockford, IL 61114-8033
Phone: 4149370454

ANNIE MAE LUNDGREN (NPI# 1679171433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679171433
Entity Type Individual
Full Name ANNIE MAE LUNDGREN
Practice Address 7110 Forest Glen Dr Apt F
Rockford
IL 61114-8033
Practice Telephone 4149370454
Mailing Telephone 4149370454
Enumeration Date 2020-10-14
Last Update Date 2020-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 347E00000X Transportation Broker IL Transportation Services

Office Location

Street Address 7110 FOREST GLEN DR APT F
City ROCKFORD
State IL
Zip Code 61114-8033

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1952869943 Angela Marie Hawkins Nurse Practitioner 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 2019-03-08
1376029231 Meghan Beth Teske Chiropractor 3779 N. Alpine Rd., Rockfod, IL 61114 2018-07-13
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Taxonomy Information

Taxonomy Code 347E00000X
Grouping Transportation Services
Classification Transportation Broker

Taxonomy Definition

A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356980635 Help Me Out Enterprise Transportation Broker 314 Blackhawk Dr, Park Forest, IL 60466-1912 2020-01-03
1285288753 My Travel Guy, Inc. Transportation Broker 1300 S. Wabash Ave. Suite # 205, Chicago, IL 60605 2019-08-01
1275197055 Intelliride, LLC Transportation Broker 720 E Butterfield Rd Ste 300, Lombard, IL 60148-5601 2019-04-26
1639639495 Gold & Silver Transportation Broker 1437 Wentworth Ave, Calumet City, IL 60409-6036 2019-03-20
1437623436 Obtaincare Inc Transportation Broker 9450 Bryn Mawr Ave Ste 280, Rosemont, IL 60018-5248 2019-01-14
1699248179 Mays Qays Ibrahim Transportation Broker 735 Pinecreek Dr, North Aurora, IL 60542-9139 2019-01-07
1588136360 Zantraquilla Z Madkins Transportation Broker 7829 South Wabash, Chicago, IL 60619 2018-12-18
1639655608 Around The World Transportation LLC Transportation Broker 353 Richmond Dr, Romeoville, IL 60446-5043 2018-07-12
1033603121 Tulsa Transportation LLC Transportation Broker 1657 S Troy St Ste B, Chicago, IL 60623-2260 2018-06-21
1326539396 Chicmed Transportion &logistics, LLC Transportation Broker 4325 Frontage Rd, Oak Forest, IL 60452-4628 2018-05-24
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Competitor

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City ROCKFORD
Zip Code 61114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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