Provider Demographics
NPI:1407462336
Name:CONNECT CARE TRANS LLC
Entity Type:Organization
Organization Name:CONNECT CARE TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:H
Authorized Official - Last Name:JIMALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-297-8000
Mailing Address - Street 1:2454 W PETERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4113
Mailing Address - Country:US
Mailing Address - Phone:773-297-8000
Mailing Address - Fax:773-326-2455
Practice Address - Street 1:2454 W PETERSON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4113
Practice Address - Country:US
Practice Address - Phone:773-297-8000
Practice Address - Fax:773-326-2455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle