Organization
GO T.A. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR GAUTHIER (OWNER/MANAGER)
(708) 506-8353
Entity
Organization
Contact information
Practice address
2307 FLOSSMOOR ROAD, FLOSSMOOR, IL 60422
(708) 506-8353
Mailing address
15826 S LA GRANGE RD # 186, ORLAND PARK, IL 60462-7793
(708) 506-8353
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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