Organization
MEDRIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOGTBA MASHI (MANAGER/OWNER)
(773) 644-0488
Entity
Organization
Contact information
Practice address
2397 ALISON AVE, PINGREE GROVE, IL 60140-6456
(773) 644-0488
Mailing address
2397 ALISON AVE, PINGREE GROVE, IL 60140-6456
(773) 644-0488
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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