Provider Demographics
NPI:1346791662
Name:SIBLEY CONSULTANTS AND TRANSPORTATION SERVICES,INC.
Entity Type:Organization
Organization Name:SIBLEY CONSULTANTS AND TRANSPORTATION SERVICES,INC.
Other - Org Name:H & M TRANSPORTATION, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SIBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-619-1837
Mailing Address - Street 1:304 S UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60425-1922
Mailing Address - Country:US
Mailing Address - Phone:773-619-1837
Mailing Address - Fax:
Practice Address - Street 1:304 S UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:IL
Practice Address - Zip Code:60425-1922
Practice Address - Country:US
Practice Address - Phone:773-619-1837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIBLEY CONSULTANTS CONTRACTORS,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL39430049343900000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL394300490001Medicaid