Organization
BRANCHING OUT FOR BETTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAKKAH AL-NURRIDIN DANTZLER (MANAGING PARTNER)
(773) 996-1598
Entity
Organization
Contact information
Practice address
10821 S HALE AVE, CHICAGO, IL 60643-3335
(773) 851-1709
Mailing address
9449 S KEDZIE AVE # 206, EVERGREEN PK, IL 60805-2325
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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