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General NPI Number Information
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NPI Number | 1447615851
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Entity Type | Organization
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Legal Business Name | CHICAGO DISABILITY TRANSIT, LLC
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 3240 N LAKE SHORE DR APT 3D
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City | CHICAGO
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State | IL
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Zip | 60657-3963
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Country | US
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Telephone | 312-335-1244
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Fax |
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Provider Business Mailing Address
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Address Line | 3240 N LAKE SHORE DR APT 3D
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City | CHICAGO
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State | IL
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Zip | 60657-3963
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Country | US
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Telephone | 312-335-1244
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MS. KAREN JEAN ZAUR
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Credential |
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Telephone | 312-335-1244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number | 1010
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License Number State | IL
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