Provider Demographics
NPI:1730544354
Name:STERDYS INC
Entity type:Organization
Organization Name:STERDYS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-436-8394
Mailing Address - Street 1:9204 S COMMERCIAL AVE
Mailing Address - Street 2:307
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-2197
Mailing Address - Country:US
Mailing Address - Phone:872-666-5030
Mailing Address - Fax:708-679-9009
Practice Address - Street 1:9204 S COMMERCIAL AVE
Practice Address - Street 2:307
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-2197
Practice Address - Country:US
Practice Address - Phone:872-666-5030
Practice Address - Fax:708-679-9009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-25
Last Update Date:2015-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILG342518347C00000X
IL297S956343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle