Organization
M R MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GARNER (OWNER)
(773) 517-5710
Entity
Organization
Contact information
Practice address
5629 S INDIANA AVE, CHICAGO, IL 60637-1203
(773) 517-5710
Mailing address
5629 S INDIANA AVE, CHICAGO, IL 60637-1203
(773) 517-5710
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7937MC
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900840079001
—
IL
Enumeration date
06/14/2013
Last updated
06/14/2013
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