Organization
CITY WIDE EXPRESS TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WILNESSA MIMS (OWNER)
(773) 994-9631
Entity
Organization
Contact information
Practice address
1304 W 77TH ST, CHICAGO, IL 60620-3730
(773) 994-9631
(773) 783-6058
Mailing address
1304 W 77TH ST, CHICAGO, IL 60620-3730
(773) 994-9631
(773) 783-6058
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
6820MC
IL
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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