Provider Demographics
NPI:1285075432
Name:CHICAGO MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:CHICAGO MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GUNAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KURTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-283-8354
Mailing Address - Street 1:3033 N NORDICA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-4742
Mailing Address - Country:US
Mailing Address - Phone:773-283-8354
Mailing Address - Fax:
Practice Address - Street 1:3033 N. NORDICA AVE.
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634
Practice Address - Country:US
Practice Address - Phone:773-283-8354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)