Organization
MODHISH INC
Active
Organization
MODHISH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANWAR ELBASHIR (OWNER)
(773) 501-7994
Entity
Organization
Contact information
Practice address
8618 W SUMMERDALE AVE, CHICAGO, IL 60656-2350
(773) 501-7994
Mailing address
8618 W SUMMERDALE AVE, CHICAGO, IL 60656-2350
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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