Provider Demographics
NPI:1285158295
Name:WINDY CITY LIMOUSINE COMPANY, LLC
Entity type:Organization
Organization Name:WINDY CITY LIMOUSINE COMPANY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SALES
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-916-9244
Mailing Address - Street 1:2801 S 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60155-4531
Mailing Address - Country:US
Mailing Address - Phone:847-916-9300
Mailing Address - Fax:
Practice Address - Street 1:2801 S 25TH AVE
Practice Address - Street 2:
Practice Address - City:BROADVIEW
Practice Address - State:IL
Practice Address - Zip Code:60155-4531
Practice Address - Country:US
Practice Address - Phone:847-916-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172A00000X
IL347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes347B00000XTransportation ServicesBus
No172A00000XOther Service ProvidersDriverGroup - Single Specialty