MEDICARE: UPFRONT TRANSPORTATION

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	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1821610973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPFRONT TRANSPORTATION

Provider Business Mailing Address
First Line	:	4731 MIDLOTHIAN TPKE STE 32
Second Line	:
City	:	CRESTWOOD
State	:	IL
Zip	:	60418-1990
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2111 121ST ST
Second Line	:
City	:	BLUE ISLAND
State	:	IL
Zip	:	60406-1201
Country	:	US
Telephone Number	:	773-499-4062
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTEN SARDIN
Credential	:
Telephone Number	:	773-499-4062

Provider Enumeration Date	:	05/12/2020
Last Update Date	:	02/15/2024

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Directions to “UPFRONT TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

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