Provider Demographics
NPI:1114227709
Name:QUICK ENTERPRISES OF ILLINOIS, INC.
Entity Type:Organization
Organization Name:QUICK ENTERPRISES OF ILLINOIS, INC.
Other - Org Name:QUICK VANNS AMBULANCE AND MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUICK
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:630-978-2667
Mailing Address - Street 1:25553 W WOLFS CROSSING RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-6804
Mailing Address - Country:US
Mailing Address - Phone:630-978-2667
Mailing Address - Fax:
Practice Address - Street 1:25553 W WOLFS CROSSING RD
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-6804
Practice Address - Country:US
Practice Address - Phone:630-978-2667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL842375162341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL842371562001OtherBUSINESS LICENSE