Provider Demographics
NPI:1295105070
Name:OUT & ABOUT TRANSPORTATION INC
Entity type:Organization
Organization Name:OUT & ABOUT TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-907-1200
Mailing Address - Street 1:44 PINE HILL DR
Mailing Address - Street 2:
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-8930
Mailing Address - Country:US
Mailing Address - Phone:630-907-1200
Mailing Address - Fax:630-907-1376
Practice Address - Street 1:44 PINE HILL DR
Practice Address - Street 2:
Practice Address - City:NORTH AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542-8930
Practice Address - Country:US
Practice Address - Phone:630-907-1200
Practice Address - Fax:630-907-1376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid