Organization
TRIPLE E TRANSPORTATION LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAJDUCH (PRESIDENT)
(708) 408-9204
Entity
Organization
Contact information
Practice address
9982 ANDERSON AVE, CHICAGO RIDGE, IL 60415-1417
(708) 408-9204
(708) 496-0093
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-3518
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
5601MC
IL
343900000X
Non-emergency Medical Transport (VAN)
Primary
6140MC
IL
Other
Enumeration date
03/16/2007
Last updated
04/20/2008
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