Provider Demographics
NPI:1689028367
Name:AT YOUR SERVICE TRANSPORTATION, LTD.
Entity Type:Organization
Organization Name:AT YOUR SERVICE TRANSPORTATION, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIETRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-666-5817
Mailing Address - Street 1:613 HAMRICK AVE
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-1624
Mailing Address - Country:US
Mailing Address - Phone:815-666-5817
Mailing Address - Fax:
Practice Address - Street 1:613 HAMRICK AVE
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-1624
Practice Address - Country:US
Practice Address - Phone:815-666-5817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)