Healthcare Provider Details
I. General information
NPI: 1013727692
Provider Name (Legal Business Name): E&E HEALTHCARE LOGISTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/07/2025
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1754 RUZICH DR
BARTLETT IL
60103-2320
US
IV. Provider business mailing address
360 W SCHICK RD # STU23
BLOOMINGDALE IL
60108-2965
US
V. Phone/Fax
- Phone: 847-830-0742
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEWIS
P
GUECO
Title or Position: MEMBER
Credential:
Phone: 847-830-0742