Provider Demographics
NPI:1639403512
Name:D AND R TRANSPORTATION INC.
Entity Type:Organization
Organization Name:D AND R TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LYNNETTE
Authorized Official - Last Name:HOLLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-724-7179
Mailing Address - Street 1:812 E 194TH ST
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60425-2112
Mailing Address - Country:US
Mailing Address - Phone:773-617-1374
Mailing Address - Fax:708-720-4432
Practice Address - Street 1:812 E 194TH ST
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:IL
Practice Address - Zip Code:60425-2112
Practice Address - Country:US
Practice Address - Phone:773-617-1374
Practice Address - Fax:708-720-4432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid