Organization
M A C CARE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK DAMON MCCOLLUM SR. (OWNER)
(773) 746-1399
Entity
Organization
Contact information
Practice address
347 S CICERO AVE # 2S, CHICAGO, IL 60644-4905
(773) 746-1399
Mailing address
3913 HAAS AVE APT 4, LYONS, IL 60534-1225
(773) 746-1399
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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