Organization
ELITE MEDIRIDE LLC
Active
Other names
ELITE MEDIRIDE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAVINEL BILL POPA (CEO)
(773) 797-8474
Entity
Organization
Contact information
Practice address
5958 W CORNELIA AVE, CHICAGO, IL 60634-4215
(773) 797-8474
Mailing address
5958 W CORNELIA AVE, CHICAGO, IL 60634-4215
(773) 797-8474
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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