Organization
BACU CASPIAN CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI AZIMOV (NON-EMERGENCY MEDICAL TRANSPORT)
(773) 290-4406
Entity
Organization
Contact information
Practice address
4801 GROVE ST, 1W, SKOKIE, IL 60077-1725
(773) 290-4406
(847) 983-4551
Mailing address
4801 GROVE ST, 1W, SKOKIE, IL 60077-1725
(773) 290-4406
(847) 983-4551
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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