NPI 1194183699
Ctf Illinois
Practice location
- Address
- 530 E 162nd St, South Holland, IL 60473-2326
- Phone
- (708) 825-1986
- Fax
- (708) 893-0554
- Mailing address
- 18230 Orland Pkwy, Orland Park, IL 60467-5688
Authorised official
- Name
- Mary P Ambrosino
- Title
- Chief Executive Officer
- Phone
- (708) 429-1260
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1194183699
- Entity type
- Organization
- NPI issued
- 29 Jan 2016
- Record last updated
- 14 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.