NPI | 1588110688 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM HUGH WHITE Owner 708-365-6993 |
Organization Subpart ? | No |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL #HO-19-16) |
Additional Taxonomies | 347C00000X Private Vehicle (Licence: IL #HO-19-16) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2016-08-29 |