Provider Demographics
NPI:1851047245
Name:TRIPLE TTT LLC
Entity Type:Organization
Organization Name:TRIPLE TTT LLC
Other - Org Name:TRIPLE TTT LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RCM
Authorized Official - Prefix:
Authorized Official - First Name:MUJIDAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEBAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-440-1972
Mailing Address - Street 1:3550 W PETERSON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-3214
Mailing Address - Country:US
Mailing Address - Phone:773-407-9065
Mailing Address - Fax:
Practice Address - Street 1:3116 W DEVON AVE APT 202
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-1496
Practice Address - Country:US
Practice Address - Phone:773-407-9065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIPLE TTT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-24
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)