| NPI | 1609387885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA RENEE ST GEORGE Owner 847-401-9851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL s53221679893) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2023-12-06 |