Healthcare Provider Details

I. General information

NPI: 1891749230
Provider Name (Legal Business Name): QUALITY WHEELCHAIR TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 183RD PL
TINLEY PARK IL
60477-9268
US

IV. Provider business mailing address

8400 183RD PL
TINLEY PARK IL
60477-9268
US

V. Phone/Fax

Practice location:
  • Phone: 708-532-0088
  • Fax: 708-633-1622
Mailing address:
  • Phone: 708-532-0088
  • Fax: 708-633-1622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK CAHILL
Title or Position: PRESIDENT
Credential:
Phone: 708-532-0088