Provider Demographics
NPI:1447615851
Name:CHICAGO DISABILITY TRANSIT, LLC
Entity Type:Organization
Organization Name:CHICAGO DISABILITY TRANSIT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:ZAUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-335-1244
Mailing Address - Street 1:3240 N LAKE SHORE DR APT 3D
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-3963
Mailing Address - Country:US
Mailing Address - Phone:312-335-1244
Mailing Address - Fax:
Practice Address - Street 1:3240 N LAKE SHORE DR APT 3D
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3963
Practice Address - Country:US
Practice Address - Phone:312-335-1244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker