| NPI | 1053771519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVETTE SUZANNE O'NEAL-REESE Owner 708-699-4487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL O54653779948) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |