Organization
MEDI2RIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTA COPPAGE (OWNER)
(773) 653-0233
Entity
Organization
Contact information
Practice address
1 W OLD STATE CAPITOL PLZ STE 805, SPRINGFIELD, IL 62701-1369
(773) 653-0233
Mailing address
9531 S UTICA AVE, EVERGREEN PARK, IL 60805-2639
(773) 653-0233
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
08/09/2024
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