MEDICARE: VIA SOL TRANSPORT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1881483899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIA SOL TRANSPORT, LLC

Provider Business Mailing Address
First Line	:	5900 BUTTERFIELD RD APT 6
Second Line	:
City	:	BERKELEY
State	:	IL
Zip	:	60163-1508
Country	:	US
Telephone Number	:	312-714-5675
Fax Number	:	312-714-5675

Provider Business Practice Location Address
First Line	:	5900 BUTTERFIELD RD APT 6
Second Line	:
City	:	BERKELEY
State	:	IL
Zip	:	60163-1508
Country	:	US
Telephone Number	:	312-714-5675
Fax Number	:	312-714-5675

Authorized Official
Title or Position	:	CEO
Name	:	CRISTINA VARGAS
Credential	:
Telephone Number	:	312-714-5675

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	05/05/2025

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