Provider Demographics
NPI:1114466596
Name:PATRIOT CAR SERVICES, LLC
Entity Type:Organization
Organization Name:PATRIOT CAR SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BELGIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-212-2586
Mailing Address - Street 1:3307 HARVEY AVE FRNT
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-3807
Mailing Address - Country:US
Mailing Address - Phone:844-872-3197
Mailing Address - Fax:708-397-4656
Practice Address - Street 1:3307 HARVEY AVE FRNT
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-3807
Practice Address - Country:US
Practice Address - Phone:844-872-3197
Practice Address - Fax:708-397-4656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-17
Last Update Date:2019-04-29
Deactivation Date:2018-06-21
Deactivation Code:
Reactivation Date:2018-06-27
Provider Licenses
StateLicense IDTaxonomies
IL341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance