MEDICARE: B & M TRASPORTATION LLC

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)

General Provider Information

NPI Number	:	1265126460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B & M TRASPORTATION LLC

Provider Business Mailing Address
First Line	:	5306 S HOYNE AVE # B
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-5543
Country	:	US
Telephone Number	:	800-450-5313
Fax Number	:	773-433-2702

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	:	800-450-5313
Fax Number	:	773-433-2702

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

Provider Enumeration Date	:	06/08/2023
Last Update Date	:	06/08/2023

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Directions to “B & M TRASPORTATION LLC ” Practice Location

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