Provider Demographics
NPI:1891749230
Name:QUALITY WHEELCHAIR TRANSPORTATION
Entity Type:Organization
Organization Name:QUALITY WHEELCHAIR TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CAHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-532-0088
Mailing Address - Street 1:8400 183RD PL
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-9268
Mailing Address - Country:US
Mailing Address - Phone:708-532-0088
Mailing Address - Fax:708-633-1622
Practice Address - Street 1:8400 183RD PL
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-9268
Practice Address - Country:US
Practice Address - Phone:708-532-0088
Practice Address - Fax:708-633-1622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid