Provider Demographics
NPI:1841426624
Name:WILLIAMS CHRISTIAN TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:WILLIAMS CHRISTIAN TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-646-6711
Mailing Address - Street 1:4125 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:COUNTRY CLUB HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60478-5152
Mailing Address - Country:US
Mailing Address - Phone:708-646-6711
Mailing Address - Fax:708-922-3691
Practice Address - Street 1:4125 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:COUNTRY CLUB HILLS
Practice Address - State:IL
Practice Address - Zip Code:60478-5152
Practice Address - Country:US
Practice Address - Phone:708-646-6711
Practice Address - Fax:708-922-3691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-06
Last Update Date:2009-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)