Provider Demographics
NPI:1780028035
Name:TRANS-A-WAY
Entity Type:Organization
Organization Name:TRANS-A-WAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:LAKEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-804-2141
Mailing Address - Street 1:4850 S LAKE PARK AVE
Mailing Address - Street 2:SUITE #210
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-2130
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4850 S LAKE PARK AVE
Practice Address - Street 2:SUITE #210
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-2130
Practice Address - Country:US
Practice Address - Phone:312-804-2141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILB652-5207-7812347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle