Healthcare Provider Details

I. General information

NPI: 1447998091
Provider Name (Legal Business Name): UNITED LIMITED LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2022
Last Update Date: 05/24/2022
Certification Date: 05/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15208 ROYAL FOXHUNT RD
ORLAND PARK IL
60462-3843
US

IV. Provider business mailing address

15208 ROYAL FOXHUNT RD
ORLAND PARK IL
60462-3843
US

V. Phone/Fax

Practice location:
  • Phone: 708-267-6733
  • Fax:
Mailing address:
  • Phone: 708-267-6733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: IBRAHIM H QUBA
Title or Position: CEO
Credential:
Phone: 708-267-6733