Organization
PICKUP & DROPOFF TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LANISHA JENKINS (CEO)
(773) 379-4025
Entity
Organization
Contact information
Practice address
4934 W CHICAGO AVE, CHICAGO, IL 60651-3142
(773) 379-4025
Mailing address
4934 W CHICAGO AVE, CHICAGO, IL 60651-3142
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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