IndividualActive
Antrone Mcintosh
NPI 1891567699 · Driver · Park Forest, IL
Provider details
- NPI number
- 1891567699
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- M25301084253 (IL)
Specialties & taxonomies
Other Service Providers
Practice location
409 Watseka St
Park Forest, IL 60466-1307
Phone: (773) 648-3680
Approximate (ZIP-level) locationGet directions
Mailing address
409 Watseka St
Park Forest, IL 60466-1307
Registry dates
- Enumerated
- 2023-10-25
- Last updated
- 2023-10-25
- Certified
- 2023-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.