| NPI | 1396919668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA CAMPBELL Board President 708-403-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |