Organization
EXCEL MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY LUCK (PRESIDENT AND CEO)
(440) 653-9524
Entity
Organization
Contact information
Practice address
10751 165TH ST, SUITE 103, ORLAND PARK, IL 60467-8700
(708) 873-1717
Mailing address
10751 165TH ST, SUITE 103, ORLAND PARK, IL 60467-8700
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
12/19/2012
Last updated
12/26/2012
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