Healthcare Provider Details

I. General information

NPI: 1477017721
Provider Name (Legal Business Name): CONNECTIONS THROUGH MOBILE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2019
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3824 HOFFMAN ST
PLANO IL
60545-1399
US

IV. Provider business mailing address

PO BOX 344
OSWEGO IL
60543-0344
US

V. Phone/Fax

Practice location:
  • Phone: 630-294-6721
  • Fax: 630-332-4098
Mailing address:
  • Phone: 630-294-6721
  • Fax: 630-332-4098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MS. MEIGHAN J COLE
Title or Position: PRESIDENT
Credential:
Phone: 630-294-6721