Provider Demographics
NPI:1427648617
Name:CHARIOTS OF WISDOM, LLC
Entity type:Organization
Organization Name:CHARIOTS OF WISDOM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:630-551-8072
Mailing Address - Street 1:3414 CLASON ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:IL
Mailing Address - Zip Code:60545-2076
Mailing Address - Country:US
Mailing Address - Phone:331-250-2044
Mailing Address - Fax:
Practice Address - Street 1:3414 CLASON ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:IL
Practice Address - Zip Code:60545-2076
Practice Address - Country:US
Practice Address - Phone:331-250-2044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)