Provider Demographics
NPI:1518120682
Name:PEOPLE FIRST TRANSPORTATION
Entity Type:Organization
Organization Name:PEOPLE FIRST TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATANYIA
Authorized Official - Middle Name:ERICA
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-301-3548
Mailing Address - Street 1:9036 S ADA ST BSMT
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-3512
Mailing Address - Country:US
Mailing Address - Phone:773-301-3548
Mailing Address - Fax:
Practice Address - Street 1:9036 S ADA ST BSMT
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-3512
Practice Address - Country:US
Practice Address - Phone:773-301-3548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILG635-5258-0603343900000X
ILC460-5537-1678343900000X
ILS160-4207-9142343900000X
ILG635-8005-8226343900000X
ILT630-2446-1638343900000X
ILC460-1615-8923343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)