Organization
AVINCENNNA MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYDIN HUSEYNOV (OWNER)
(773) 865-8018
Entity
Organization
Contact information
Practice address
434 CALLAN AVE, GW, EVANSTON, IL 60202-2973
(773) 865-8018
Mailing address
434 CALLAN AVE, GW, EVANSTON, IL 60202-2973
(773) 865-8018
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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