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NPI 1417892902

NPI 1417892902 : AFFINITY & NN TRANSPORTATION : DEERFIELD, IL

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General NPI Number Information
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    NPI Number           |    1417892902
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    Entity Type          |    Organization 
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    Legal Business Name  |    AFFINITY & NN TRANSPORTATION 
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Dates
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    Enumeration Date     |    04/21/2026
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    Last Update Date     |    04/21/2026
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Provider Practice Location Address
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    Address Line         |    1020 MILWAUKEE AVE STE 300E 
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    City                 |    DEERFIELD
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    State                |    IL
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    Zip                  |    60015-3563
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    Country              |    US
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    Telephone            |    847-243-4474
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    Fax                  |    847-243-4473
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Provider Business Mailing Address
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    Address Line         |    1020 MILWAUKEE AVE STE 300E 
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    City                 |    DEERFIELD
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    State                |    IL
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    Zip                  |    60015-3563
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    Country              |    US
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    Telephone            |    847-243-4474
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    Fax                  |    847-243-4473
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. NUKRI  ENDELADZE 
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    Credential           |    
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    Telephone            |    224-795-3496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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