Provider Demographics
NPI:1467680009
Name:R AND L TRANSPORTATION LLC
Entity Type:Organization
Organization Name:R AND L TRANSPORTATION LLC
Other - Org Name:EVERLAST TRANSPORTATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-748-5084
Mailing Address - Street 1:19921 KEYSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-1223
Mailing Address - Country:US
Mailing Address - Phone:708-748-5084
Mailing Address - Fax:708-481-3626
Practice Address - Street 1:19921 KEYSTONE AVE
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1223
Practice Address - Country:US
Practice Address - Phone:708-748-5084
Practice Address - Fax:708-481-3626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL6467MC343800000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)