| NPI | 1124678461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP EVANS Chief Executive Officer 708-627-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |