Provider Demographics
NPI:1598186249
Name:LET'S GO SHUTTLE SERVICE CORP
Entity type:Organization
Organization Name:LET'S GO SHUTTLE SERVICE CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:V
Authorized Official - Last Name:BODDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-610-7607
Mailing Address - Street 1:14433 S EMERALD AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60827-2618
Mailing Address - Country:US
Mailing Address - Phone:773-610-7607
Mailing Address - Fax:
Practice Address - Street 1:14433 S EMERALD AVE
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:IL
Practice Address - Zip Code:60827-2618
Practice Address - Country:US
Practice Address - Phone:773-610-7607
Practice Address - Fax:773-610-7607
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LET'S GO SHUTTLE SERVICE CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-25
Last Update Date:2013-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILB352-2988-0172347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle