Provider Demographics
NPI:1467867473
Name:B AND B TRANSPORTATION INC
Entity Type:Organization
Organization Name:B AND B TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:JEANETTE
Authorized Official - Last Name:SCOTT-HOLLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-945-4450
Mailing Address - Street 1:357 WHEATFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-1358
Mailing Address - Country:US
Mailing Address - Phone:708-945-0986
Mailing Address - Fax:
Practice Address - Street 1:357 WHEATFIELD RD
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1358
Practice Address - Country:US
Practice Address - Phone:708-945-0986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-27
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILS34879071697343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)