MEDICARE: SENSITIVE TOUCH FOR SENIORS & DISABLE TRANSPORTATIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	M60052255887	IL

General Provider Information

NPI Number	:	1205209210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENSITIVE TOUCH FOR SENIORS & DISABLE TRANSPORTATIO

Provider Business Mailing Address
First Line	:	5306 S HOYNE AVE # B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-5543
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5306 S HOYNE AVE # B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-5543
Country	:	US
Telephone Number	:	773-946-8436
Fax Number	:	773-471-3222

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LOIS B MOORE
Credential	:
Telephone Number	:	773-946-8436

Provider Enumeration Date	:	11/12/2015
Last Update Date	:	11/12/2015

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