Organization
BWCT TRANSPORTATION
Active
Other names
BWCT TRANSPORTATION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERMAN DEGRAFFENREID (OWNER)
(708) 203-0343
Entity
Organization
Contact information
Practice address
14343 S YATES AVE, BURNHAM, IL 60633-2252
(708) 396-9950
(708) 260-9396
Mailing address
PO BOX 1833, MATTESON, IL 60443-4833
(708) 396-9950
(708) 260-9396
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
343900000X
IL
Other
Enumeration date
06/30/2011
Last updated
01/17/2012
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