Healthcare Provider Details

I. General information

NPI: 1073314282
Provider Name (Legal Business Name): CHITOWNCABBIE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2532 W WARREN BLVD UNIT D
CHICAGO IL
60612-2185
US

IV. Provider business mailing address

2532 W WARREN BLVD UNIT D
CHICAGO IL
60612-2185
US

V. Phone/Fax

Practice location:
  • Phone: 312-701-4559
  • Fax:
Mailing address:
  • Phone: 312-701-4559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: BEN ALAWI
Title or Position: PRESIDENT
Credential:
Phone: 312-701-4559