Provider Demographics
NPI:1437325057
Name:BLUEJAY TRANSPORTATION LLP
Entity Type:Organization
Organization Name:BLUEJAY TRANSPORTATION LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-783-1734
Mailing Address - Street 1:284 STONEGATE RD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-3605
Mailing Address - Country:US
Mailing Address - Phone:630-783-1734
Mailing Address - Fax:630-783-1734
Practice Address - Street 1:284 STONEGATE RD
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-3605
Practice Address - Country:US
Practice Address - Phone:630-783-1734
Practice Address - Fax:630-783-1734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-03
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)