Loretta L Bayless
Organization Active NPI Private Vehicle · Markham, IL
NPI 1326280462 · NPPES record last updated Apr 6, 2009
Key facts
- NPI
- 1326280462
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Private Vehicle 347C00000X
- License
- 9737286 (IL)
- Legal business name
- LORETTA L BAYLESS
- Practice address
- 15813 Clifton Park Ave
Markham, IL 60428-3920 - Phone
- (312) 962-4415
- Fax
- (708) 234-7348
- NPI assigned
- Apr 6, 2009
- Organization subpart
- No
Authorized official
- Name
- Miss Loretta L Bayless
- Title
- Owner
- Phone
- (312) 962-4415
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Changing Futures
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 9737286 | IL | Yes |
Addresses
Primary practice location
15813 Clifton Park Ave
Markham, IL 60428-3920
Mailing address
15813 Clifton Park Ave
Markham, IL 60428-3920
Phone (312) 962-4415
Other providers in Markham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.