Pamela McNair
Individual provider Active NPI Contractor · Dixmoor, IL
NPI 1457780330 · NPPES record last updated Jan 30, 2014
Key facts
- NPI
- 1457780330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 14239 Winchester Ave
Dixmoor, IL 60426-1151 - Phone
- (773) 459-0990
- NPI assigned
- Nov 1, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
14239 Winchester Ave
Dixmoor, IL 60426-1151
Mailing address
500 East 33Rd Street
Unit 1115
Chicago, IL 60616
Phone (773) 459-0990
Other names
- B M Transportation
Other providers in Dixmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2014. 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.