Healthcare Provider Details

I. General information

NPI: 1740753508
Provider Name (Legal Business Name): MED NET TAXI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2019
Last Update Date: 01/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 E ALGONQUIN RD APT 1O
SCHAUMBURG IL
60173-4013
US

IV. Provider business mailing address

1320 E ALGONQUIN RD APT 1O
SCHAUMBURG IL
60173-4013
US

V. Phone/Fax

Practice location:
  • Phone: 630-994-7770
  • Fax: 720-302-6244
Mailing address:
  • Phone: 630-994-7770
  • Fax: 720-302-6244

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 Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: RHONDA RODRIGUEZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 630-994-7770