Provider Demographics
NPI:1154984631
Name:INFINITY AND BEYOND TRANSPORTATION LLC
Entity type:Organization
Organization Name:INFINITY AND BEYOND TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-699-4281
Mailing Address - Street 1:9343 S SANGAMON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-2734
Mailing Address - Country:US
Mailing Address - Phone:773-699-4281
Mailing Address - Fax:773-496-0909
Practice Address - Street 1:9343 S SANGAMON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-2734
Practice Address - Country:US
Practice Address - Phone:773-699-4281
Practice Address - Fax:773-496-0909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-19
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes347C00000XTransportation ServicesPrivate Vehicle
No172A00000XOther Service ProvidersDriverGroup - Single Specialty
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No305S00000XManaged Care OrganizationsPoint of Service
No335U00000XSuppliersOrgan Procurement Organization
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)