Healthcare Provider Details

I. General information

NPI: 1720618036
Provider Name (Legal Business Name): HOTLINE MEDICAL TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2020
Last Update Date: 01/25/2020
Certification Date: 01/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 HAMILTON PL
VERNON HILLS IL
60061-1016
US

IV. Provider business mailing address

108 HAMILTON PL
VERNON HILLS IL
60061-1016
US

V. Phone/Fax

Practice location:
  • Phone: 773-814-0279
  • Fax:
Mailing address:
  • Phone: 773-814-0279
  • Fax:

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: RAUF KARAEV
Title or Position: PRESIDENT
Credential:
Phone: 773-814-0279