Provider Demographics
NPI:1740650498
Name:RESERVED ENTERPRISE TRANSPORTATION
Entity type:Organization
Organization Name:RESERVED ENTERPRISE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:INZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-416-8008
Mailing Address - Street 1:233 S WACKER DR STE 8400
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-6338
Mailing Address - Country:US
Mailing Address - Phone:312-473-1345
Mailing Address - Fax:
Practice Address - Street 1:233 S WACKER DR STE 8400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-6338
Practice Address - Country:US
Practice Address - Phone:312-473-1345
Practice Address - Fax:
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)