Provider Demographics
NPI:1356501274
Name:ALEF TRANSPORTATION
Entity Type:Organization
Organization Name:ALEF TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDR
Authorized Official - Middle Name:
Authorized Official - Last Name:KUZMENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-792-2010
Mailing Address - Street 1:5550 N ELSTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-1315
Mailing Address - Country:US
Mailing Address - Phone:773-792-2010
Mailing Address - Fax:
Practice Address - Street 1:5550 N ELSTON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-1315
Practice Address - Country:US
Practice Address - Phone:773-792-2010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)