Organization
LEGACY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN O LEWIS III (CEO)
(773) 712-7928
Entity
Organization
Contact information
Practice address
7128 S OGLESBY AVE, CHICAGO, IL 60649-2516
(773) 712-7928
Mailing address
7128 S OGLESBY AVE, CHICAGO, IL 60649-2516
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
APPLY FOR
IL
Other
Enumeration date
05/09/2013
Last updated
07/29/2013
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