Organization
FAIRWAY GOLF CARS, INC.
Active
Other names
Specialty Transports, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHHIA MURCHISON (MEDICAL BILLER)
(847) 223-8211
Entity
Organization
Contact information
Practice address
150 CRYSTAL ST, CARY, IL 60013-2731
(847) 516-5460
(847) 516-5462
Mailing address
150 CRYSTAL ST, CARY, IL 60013-2731
(847) 516-5460
(847) 516-5462
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05621184
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/14/2007
Last updated
08/22/2020
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