MEDICARE: DALEYS MEDICAL TRANSPORTATION 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	3416L0300X	Land Ambulance	77971	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590014679	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	01630274	OTHER	IL	BCBS ILLINOIS

General Provider Information

NPI Number	:	1710941588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALEYS MEDICAL TRANSPORTATION INC

Provider Business Mailing Address
First Line	:	1234 E SIBLEY BLVD
Second Line	:
City	:	DOLTON
State	:	IL
Zip	:	60419-2944
Country	:	US
Telephone Number	:	708-849-0945
Fax Number	:	708-849-0997

Provider Business Practice Location Address
First Line	:	1234 E SIBLEY BLVD
Second Line	:
City	:	DOLTON
State	:	IL
Zip	:	60419-2944
Country	:	US
Telephone Number	:	708-849-0945
Fax Number	:	708-849-0997

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAURA DALEY
Credential	:
Telephone Number	:	219-313-8293

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	10/22/2025

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Directions to “DALEYS MEDICAL TRANSPORTATION INC ” Practice Location

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