Organization
MUSTANG TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIKTPRIYA VODOVOZOVA (OWNER)
(847) 329-1275
Entity
Organization
Contact information
Practice address
4656 W TOUHY AVE, SUITE 500, LINCOLNWOOD, IL 60712-1656
(847) 329-1275
Mailing address
4656 W TOUHY AVE, SUITE 500, LINCOLNWOOD, IL 60712-1656
(847) 329-1275
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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