Organization
RED DOOR TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA MARIE HAWKINS (MEMBER)
(773) 398-5419
Entity
Organization
Contact information
Practice address
7241 S LUELLA AVE, CHICAGO, IL 60649-2513
(773) 398-5419
(773) 834-1351
Mailing address
7241 S LUELLA AVE, CHICAGO, IL 60649-2513
(773) 398-5419
(773) 834-1351
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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