Provider Demographics
NPI:1215376942
Name:AJAJ TRANSPORTAION SERVICES INC
Entity Type:Organization
Organization Name:AJAJ TRANSPORTAION SERVICES INC
Other - Org Name:AJAJ TRANSPORTATION SERVIES INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:TRANSPORTATION
Authorized Official - Prefix:MR
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:AWADALLA
Authorized Official - Last Name:LBRAHIM
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:773-934-3994
Mailing Address - Street 1:8439 W CATHERINE AVE
Mailing Address - Street 2:719
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-1415
Mailing Address - Country:US
Mailing Address - Phone:773-934-3994
Mailing Address - Fax:
Practice Address - Street 1:8439 W CATHERINE AVE
Practice Address - Street 2:719
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-1415
Practice Address - Country:US
Practice Address - Phone:773-934-3994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:68880874
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-15
Last Update Date:2013-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL68880874343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)