Provider Demographics
NPI:1124292404
Name:HEALTHCARE PLUS TRANSPORT CORP
Entity type:Organization
Organization Name:HEALTHCARE PLUS TRANSPORT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PAYROLL & BILLING SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BASA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-283-0090
Mailing Address - Street 1:6037 1/2 N CICERO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-1306
Mailing Address - Country:US
Mailing Address - Phone:773-283-0090
Mailing Address - Fax:773-283-1054
Practice Address - Street 1:6037 1/2 N CICERO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-1306
Practice Address - Country:US
Practice Address - Phone:773-283-0090
Practice Address - Fax:773-283-1054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)