| NPI | 1346791662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SIBLEY Owner 773-619-1837 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 39430049) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: IL 39430049) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |