| NPI | 1700241551 |
|---|---|
| Doing Business As | BOLINGBROOK EXPRESS MEDICAL TRANSPORT |
| Entity Type | Organization |
| Authorized Contact | KENNETH GRAY President/ Clinical Director 630-914-5065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle (Licence: IL 5731DV) |
| Additional Taxonomies | 175F00000X Naturopath |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 367H00000X Anesthesiologist Assistant | |
| 173C00000X Reflexologist | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 1301356) | |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-29 |