NPIMap

Organization Active NPI

Quentin Transportation

  • Private Vehicle
  • Lynwood, IL
National Provider Identifier
1013466135
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
050473793 Issued in GA
Legal business name
QUENTIN TRANSPORTATION
Practice address
19712 Crescent Ave
Lynwood, IL 60411-1460
Phone
(773) 886-2626
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Quentin Raymone CrockettNPI 1053853010
Title
President
Phone
(773) 886-2626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 050473793 GA Primary

Addresses

Primary practice location

19712 Crescent Ave
Lynwood, IL 60411-1460

Mailing address

19712 Crescent Ave
Lynwood, IL 60411-1460
Phone (773) 886-2626

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1013466135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19712 CRESCENT AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111460",
            "telephone_number": "773-886-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19712 CRESCENT AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111460",
            "telephone_number": "773-886-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUENTIN TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_middle_name": "RAYMONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-886-2626"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "GA",
            "license": "050473793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.