Provider Demographics
NPI:1053756304
Name:D AND I TRANSPORT, INC
Entity type:Organization
Organization Name:D AND I TRANSPORT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:NNAHSON
Authorized Official - Last Name:NKWOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-288-9602
Mailing Address - Street 1:26117 S COUNTYFAIR DR
Mailing Address - Street 2:
Mailing Address - City:MONEE
Mailing Address - State:IL
Mailing Address - Zip Code:60449-8783
Mailing Address - Country:US
Mailing Address - Phone:708-674-6277
Mailing Address - Fax:
Practice Address - Street 1:26117 S COUNTYFAIR DR
Practice Address - Street 2:
Practice Address - City:MONEE
Practice Address - State:IL
Practice Address - Zip Code:60449-8783
Practice Address - Country:US
Practice Address - Phone:708-674-6277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)