Provider Demographics
NPI:1619373511
Name:KAT TRANSPORT NG CO
Entity Type:Organization
Organization Name:KAT TRANSPORT NG CO
Other - Org Name:KAT TRANSPORT NG CO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAHEED
Authorized Official - Middle Name:SAHEED
Authorized Official - Last Name:TEPEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-968-1485
Mailing Address - Street 1:1440 W TAYLOR ST # 258
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4623
Mailing Address - Country:US
Mailing Address - Phone:773-968-1485
Mailing Address - Fax:
Practice Address - Street 1:4843 S PRAIRIE UNIT 2 N
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615
Practice Address - Country:US
Practice Address - Phone:773-968-1485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KAT TRANSPORT NG CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-05
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)