Organization
DOUBLE D MEDITRANS LLC
Active
Other names
DDMeditrans
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD ETIKA (MD)
(312) 626-6616
Entity
Organization
Contact information
Practice address
2520 E STATE ST, BURNHAM, IL 60633-2258
(312) 626-6616
Mailing address
2520 E STATE ST, BURNHAM, IL 60633-2258
(312) 626-6616
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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