Healthcare Provider Details

I. General information

NPI: 1639915689
Provider Name (Legal Business Name): OHARE AIRPORT TAXI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2024
Last Update Date: 07/08/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1591 WALNUT AVE
HANOVER PARK IL
60133-3955
US

IV. Provider business mailing address

1660 REDWOOD AVE
HANOVER PARK IL
60133-3643
US

V. Phone/Fax

Practice location:
  • Phone: 331-308-5706
  • Fax:
Mailing address:
  • Phone: 331-308-5706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO DI FILIPPO
Title or Position: OWNER/ MANAGER
Credential:
Phone: 331-308-5705