Provider Demographics
NPI:1013202894
Name:ACCESSIBLE MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ACCESSIBLE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:FERNAN
Authorized Official - Last Name:YBANEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-985-6892
Mailing Address - Street 1:1950 TRAFALGER DR
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-4994
Mailing Address - Country:US
Mailing Address - Phone:630-985-6892
Mailing Address - Fax:
Practice Address - Street 1:1950 TRAFALGER DR
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-4994
Practice Address - Country:US
Practice Address - Phone:630-985-6892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILY15268665267343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)