Organization
C.A.P. TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANASA LONNIE DAVENPORT (OWNER)
(773) 501-2465
Entity
Organization
Contact information
Practice address
6622 S SAINT LAWRENCE AVE, CHICAGO, IL 60637-4185
(773) 501-2465
(312) 238-9373
Mailing address
6622 S SAINT LAWRENCE AVE, CHICAGO, IL 60637-4185
(773) 377-8181
(312) 238-9373
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D15187271918
IL
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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