| NPI | 1831495589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANA CHONGSUWAT Owner 847-650-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 11366 PT) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 11367 PT) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-02-04 |