MEDICARE: ELDERLY ERRANDS INC

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)		IL

General Provider Information

NPI Number	:	1306165360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELDERLY ERRANDS INC

Provider Business Mailing Address
First Line	:	4939 W FULLERTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-2505
Country	:	US
Telephone Number	:	773-727-6455
Fax Number	:

Provider Business Practice Location Address
First Line	:	4939 W FULLERTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-2505
Country	:	US
Telephone Number	:	773-727-6455
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ISAIAS MERCADO
Credential	:
Telephone Number	:	773-727-6455

Provider Enumeration Date	:	05/28/2010
Last Update Date	:	07/21/2022

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Directions to “ELDERLY ERRANDS INC ” Practice Location

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