SearchIllinoisPrivate Vehicle

Telly Shelton

NPI 1811373418 · on the registry since 2015 · sole proprietor

Practice

Address
7810 S Euclid Ave
2s
Chicago, IL 60649
Phone
(708) 502-3718

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois