Nex Level Transportation
PACE Provider Organization in Berwyn, IL. Organization (NPI-2).
NPI number1669979092
StatusActive
Last updated in NPPESApr 11, 2018
Details
- NPI
- 1669979092
- Entity type
- Organization (NPI-2)
- Legal business name
- Nex Level Transportation
- Organization subpart
- No
- Enumeration date
- Apr 11, 2018
- Last updated
- Apr 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251T00000X | PACE Provider Organization | PT19527 | IL | Yes |
| 251T00000X | PACE Provider Organization | PT19526 | IL |
Practice location
1926 Clarence AveBerwyn, IL 60402-1948
Phone 773-899-7524
Mailing address
1926 Clarence AveBerwyn, IL 60402-1948
Phone 773-899-7524
Authorized official
Benjamin Little
President
7738997524
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