Organization
URBAN MEDICAL TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANESHA FULTZ (PRESIDENT)
(312) 404-9528
Entity
Organization
Contact information
Practice address
800 S WELLS ST, #1236, CHICAGO, IL 60607-4529
(312) 404-9528
(312) 922-1183
Mailing address
800 S WELLS ST APT 1236, CHICAGO, IL 60607-4540
(312) 404-9528
(312) 922-1183
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IN
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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