Provider Demographics
NPI:1376855395
Name:AA1 MEDICAR TRANSPOTATION INC
Entity Type:Organization
Organization Name:AA1 MEDICAR TRANSPOTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHD
Authorized Official - Middle Name:A
Authorized Official - Last Name:FREIHAT
Authorized Official - Suffix:III
Authorized Official - Credentials:FM
Authorized Official - Phone:773-729-9444
Mailing Address - Street 1:10624 S MAJOR ST 2N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60415
Mailing Address - Country:US
Mailing Address - Phone:773-729-9444
Mailing Address - Fax:708-422-0664
Practice Address - Street 1:10624 S MAJOR ST 2N
Practice Address - Street 2:
Practice Address - City:CHICAGO RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60415
Practice Address - Country:US
Practice Address - Phone:773-729-9444
Practice Address - Fax:708-422-0664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-07
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL7508MC343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherMEDICAR TRANSPOTATION