Organization
NON-EMERGENCY MEDICAL TRANSPORTATION OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WITEK (PRESIDENT)
(773) 774-8999
Entity
Organization
Contact information
Practice address
5567 N ELSTON AVE, CHICAGO, IL 60630-1314
(773) 774-8999
(773) 774-4744
Mailing address
P.O. BOX 5988, DEPT. 20-5056, CAROL STREAM, IL 60197-5988
(773) 774-8999
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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