NPI 1023780939

Ebone Porch

Practitioner Non-emergency Medical Transport (VAN) Chicago, IL

Practice location

Address: 1953 W Maypole Ave, Chicago, IL 60612-2466
Phone: (773) 620-0434

Registered specialties (6)

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X

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Transportation Network Company

Transportation Services Taxonomy 342000000X

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Secured Medical Transport (VAN)

Transportation Services Taxonomy 343800000X

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Private Vehicle

Transportation Services Taxonomy 347C00000X

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Transportation Broker

Transportation Services Taxonomy 347E00000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1023780939
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2021
Record last updated: 5 Oct 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.