Travis Latham
Travis Latham is a Driver in Chicago, Illinois. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
47 W Polk StChicago, IL 60605-2000
Phone: (312) 922-5037
Fax: (312) 922-5537
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1326591702 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 2, 2016 |
| Last updated in NPPES | August 2, 2016 |
| Mailing address | 47 W Polk St, Chicago, IL 60605-2000 |
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