Provider Demographics
NPI:1477003846
Name:B M TRANSPORTATION
Entity Type:Organization
Organization Name:B M TRANSPORTATION
Other - Org Name:BM TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MCNAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-459-0990
Mailing Address - Street 1:4800 S LAKE PARK AVE
Mailing Address - Street 2:UNIT 2511A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-2190
Mailing Address - Country:US
Mailing Address - Phone:773-459-0990
Mailing Address - Fax:773-285-0430
Practice Address - Street 1:14239 WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:DIXMOOR
Practice Address - State:IL
Practice Address - Zip Code:60426-1151
Practice Address - Country:US
Practice Address - Phone:773-459-0990
Practice Address - Fax:773-285-0430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL343900000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle