Provider Demographics
NPI:1174145908
Name:VIRTU MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:VIRTU MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AKACHI
Authorized Official - Middle Name:
Authorized Official - Last Name:AJIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-263-1712
Mailing Address - Street 1:260 GLADIOLUS DR
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-5114
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:260 GLADIOLUS DR
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-5114
Practice Address - Country:US
Practice Address - Phone:815-263-1712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi