Provider Demographics
NPI:1104288109
Name:E & C TRANSPORTATION
Entity type:Organization
Organization Name:E & C TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-321-0454
Mailing Address - Street 1:20650 S CICERO AVE
Mailing Address - Street 2:UNIT 1951
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-3461
Mailing Address - Country:US
Mailing Address - Phone:708-792-0922
Mailing Address - Fax:708-570-1192
Practice Address - Street 1:20650 S CICERO AVE
Practice Address - Street 2:UNIT 1951
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-3461
Practice Address - Country:US
Practice Address - Phone:708-792-0922
Practice Address - Fax:708-570-1192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILK964742347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle