Provider Demographics
NPI:1124799101
Name:I&I TRANSPORTATION
Entity type:Organization
Organization Name:I&I TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHUKRI
Authorized Official - Middle Name:
Authorized Official - Last Name:JUDEH
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:708-491-7537
Mailing Address - Street 1:10808 S KENNETH AVE
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-5725
Mailing Address - Country:US
Mailing Address - Phone:708-307-1903
Mailing Address - Fax:
Practice Address - Street 1:10808 S KENNETH AVE
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-5725
Practice Address - Country:US
Practice Address - Phone:708-307-1903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)