Organization
AAA-1 TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY THOMAS (OWNER)
(773) 997-8784
Entity
Organization
Contact information
Practice address
5740 S EMERALD AVE, CHICAGO, IL 60621
(773) 783-3767
Mailing address
5740 S EMERALD AVE, CHICAGO, IL 60621-2811
(773) 783-3767
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
03/23/2015
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