Provider Demographics
NPI:1578332615
Name:NORTHSHORE TRANSIT CONNECTS INC
Entity Type:Organization
Organization Name:NORTHSHORE TRANSIT CONNECTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:NIZAM
Authorized Official - Last Name:UNNISA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:773-392-0965
Mailing Address - Street 1:227 SUMAC RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-4441
Mailing Address - Country:US
Mailing Address - Phone:773-392-0965
Mailing Address - Fax:847-205-9591
Practice Address - Street 1:227 SUMAC RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-4441
Practice Address - Country:US
Practice Address - Phone:773-392-0965
Practice Address - Fax:847-205-9591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-01
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)