| NPI | 1124292404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BASA Payroll & Billing Specialist 773-283-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2022-07-21 |