Provider Demographics
NPI:1659775039
Name:AZER MEDICAL TRANSPORTATIN LLC
Entity Type:Organization
Organization Name:AZER MEDICAL TRANSPORTATIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELCHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BABAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-916-1133
Mailing Address - Street 1:10110 OLD ORCHARD CT APT 1A
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1051
Mailing Address - Country:US
Mailing Address - Phone:773-916-1133
Mailing Address - Fax:224-251-7187
Practice Address - Street 1:10110 OLD ORCHARD CT APT 1A
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1051
Practice Address - Country:US
Practice Address - Phone:773-916-1133
Practice Address - Fax:224-251-7187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)