Organization
PRESTIGE VIP TRANSPORTATION IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY WILLIAMS (CEO)
77326509001
Entity
Organization
Contact information
Practice address
3059 W WARREN BLVD, CHICAGO, IL 60612-1815
(773) 265-0901
Mailing address
3059 W WARREN BLVD, CHICAGO, IL 60612-1815
(773) 265-0901
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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