Provider Demographics
NPI:1578990180
Name:MY PERSONAL TAXI & LIVERY, INC.
Entity Type:Organization
Organization Name:MY PERSONAL TAXI & LIVERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEIDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINNICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-338-3403
Mailing Address - Street 1:1 LINCOLN CTR STE 1500
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4272
Mailing Address - Country:US
Mailing Address - Phone:630-338-3403
Mailing Address - Fax:630-206-0195
Practice Address - Street 1:1275 BUTTERFIELD RD STE 100D
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-8849
Practice Address - Country:US
Practice Address - Phone:630-338-3403
Practice Address - Fax:630-206-0195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-28
Last Update Date:2013-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL22996LY344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi