Organization
AMERICAN CHARIOT LLC
Active
Other names
American Chariot
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAH MOORE (MANAGING MEMBER)
(224) 322-8164
Entity
Organization
Contact information
Practice address
330 W WHISPERING OAKS LN, ROUND LAKE, IL 60073-5004
(224) 322-8164
Mailing address
75 COMMERCE DR UNIT 7141, GRAYSLAKE, IL 60030-7707
(224) 322-8164
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347B00000X
Bus
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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