Provider Demographics
NPI:1437457223
Name:ALLIED MEDICAL TRANSPORTATION INC
Entity Type:Organization
Organization Name:ALLIED MEDICAL TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GIRTS
Authorized Official - Middle Name:
Authorized Official - Last Name:KOKOREVICS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-847-7897
Mailing Address - Street 1:7 ACORN DR
Mailing Address - Street 2:
Mailing Address - City:HAWTHORN WOODS
Mailing Address - State:IL
Mailing Address - Zip Code:60047-9006
Mailing Address - Country:US
Mailing Address - Phone:847-847-7897
Mailing Address - Fax:847-307-5204
Practice Address - Street 1:7 ACORN DR
Practice Address - Street 2:
Practice Address - City:HAWTHORN WOODS
Practice Address - State:IL
Practice Address - Zip Code:60047-9006
Practice Address - Country:US
Practice Address - Phone:847-847-7897
Practice Address - Fax:847-307-5204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)