Provider Demographics
NPI:1376082503
Name:A PLUS UNTITED TAXI LIMOSINE
Entity Type:Organization
Organization Name:A PLUS UNTITED TAXI LIMOSINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:ISELA
Authorized Official - Last Name:CORONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-473-0300
Mailing Address - Street 1:1721 SHERIDAN RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:NORTH CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60064-2205
Mailing Address - Country:US
Mailing Address - Phone:847-473-0300
Mailing Address - Fax:
Practice Address - Street 1:1721 SHERIDAN RD
Practice Address - Street 2:SUITE C
Practice Address - City:NORTH CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60064
Practice Address - Country:US
Practice Address - Phone:847-470-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL9955343900000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi