Provider Demographics
NPI:1619285939
Name:MEDICAR LIMITED
Entity Type:Organization
Organization Name:MEDICAR LIMITED
Other - Org Name:CARE FARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:MORONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-233-1000
Mailing Address - Street 1:10302 S SEELEY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-2629
Mailing Address - Country:US
Mailing Address - Phone:773-233-1000
Mailing Address - Fax:773-233-0613
Practice Address - Street 1:10302 S SEELEY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-2629
Practice Address - Country:US
Practice Address - Phone:773-233-1000
Practice Address - Fax:773-233-0613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1880MC343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid