Organization
RIDE EZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YEVGENIY PROKOPOV (OWNER)
(312) 857-4330
Entity
Organization
Contact information
Practice address
1401 W HUBBARD ST STE 1W, CHICAGO, IL 60642-8184
(312) 857-4330
Mailing address
1401 W HUBBARD ST STE 1W, CHICAGO, IL 60642-8184
(312) 857-4330
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
002
IL
343900000X
Non-emergency Medical Transport (VAN)
Primary
002
IL
Other
Enumeration date
08/06/2014
Last updated
07/21/2022
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