MEDICARE: INJURY TRANSPORTATION CHICAGO 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	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1689491375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INJURY TRANSPORTATION CHICAGO LLC

Provider Business Mailing Address
First Line	:	3 GRANT SQ UNIT 145
Second Line	:
City	:	HINSDALE
State	:	IL
Zip	:	60521-3351
Country	:	US
Telephone Number	:	312-967-8105
Fax Number	:

Provider Business Practice Location Address
First Line	:	999 OAKMONT PLAZA DR STE 600
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-1374
Country	:	US
Telephone Number	:	312-967-8105
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	VARUN BATRA
Credential	:
Telephone Number	:	630-258-2384

Provider Enumeration Date	:	09/24/2024
Last Update Date	:	09/24/2024

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