Organization
SPECIAL CARE TRANSPORTAION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVIN EARL ELLIS II (CHIEF EXECUTIVE OFFICER)
(708) 481-9849
Entity
Organization
Contact information
Practice address
21121 CHRISTINA DR, MATTESON, IL 60443-3003
(708) 481-9849
Mailing address
21121 CHRISTINA DR, MATTESON, IL 60443-3003
(708) 481-9849
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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