| NPI | 1104133669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMARK SCOTT Secretary 773-567-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL s30072062278) |
| Enumeration Date | 2010-09-06 |
| Last Update Date | 2010-09-06 |