Provider Demographics
NPI:1356229504
Name:PATRICK LOGISTICS CONSULTANCY & TRAINING LLC
Entity type:Organization
Organization Name:PATRICK LOGISTICS CONSULTANCY & TRAINING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENYATTA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-619-7247
Mailing Address - Street 1:6636 S YALE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60621-3836
Mailing Address - Country:US
Mailing Address - Phone:773-619-7247
Mailing Address - Fax:
Practice Address - Street 1:817 W 63RD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60621-1915
Practice Address - Country:US
Practice Address - Phone:866-213-1912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health