| NPI | 1396466595 |
|---|---|
| Doing Business As | DDMEDITRANS |
| Entity Type | Organization |
| Authorized Contact | EDWARD ETIKA Md 312-626-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |