Provider Demographics
NPI:1912174434
Name:ABINEL ENTERPRISES INC.
Entity type:Organization
Organization Name:ABINEL ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:IMOUKHUEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-283-0705
Mailing Address - Street 1:2741 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-1801
Mailing Address - Country:US
Mailing Address - Phone:708-283-0705
Mailing Address - Fax:708-283-7004
Practice Address - Street 1:2741 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-1801
Practice Address - Country:US
Practice Address - Phone:708-283-0705
Practice Address - Fax:708-283-7004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)