Healthcare Provider Details

I. General information

NPI: 1457196016
Provider Name (Legal Business Name): BATES ALTERATIONS AND TAILORING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1828 S HARDING AVE
CHICAGO IL
60623-5057
US

IV. Provider business mailing address

1828 S HARDING AVE
CHICAGO IL
60623-5057
US

V. Phone/Fax

Practice location:
  • Phone: 855-554-1145
  • Fax:
Mailing address:
  • Phone: 855-554-1145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MELISSA BATES
Title or Position: PRESIDENT
Credential:
Phone: 312-702-9324