IndividualActive
Brandon Hargrove
NPI 1245909142 · Driver · Justice, IL
Provider details
- NPI number
- 1245909142
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- H62606085086 (IL)
Mailing address
425 Sterling St E
Justice, IL 60458-1228
Registry dates
- Enumerated
- 2021-09-13
- Last updated
- 2021-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.