Provider Demographics
NPI:1134974900
Name:BLUE RIBBON TAXI ASSOCIATION INC.
Entity type:Organization
Organization Name:BLUE RIBBON TAXI ASSOCIATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SABIR
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-792-4100
Mailing Address - Street 1:4020 W GLENLAKE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-5201
Mailing Address - Country:US
Mailing Address - Phone:773-279-4100
Mailing Address - Fax:773-508-0128
Practice Address - Street 1:4020 W GLENLAKE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-5201
Practice Address - Country:US
Practice Address - Phone:773-279-4100
Practice Address - Fax:773-508-0128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi