Intern Goods Med Delivery Service

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

INTERN GOODS MED DELIVERY SERVICE

Doing business as

Intern Goods Med Delivery Service

Practice address

5259 Drake LN
Matteson, IL 60443-1611

Phone

(708) 969-1928

NPI assigned

Jan 9, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Ekoue

Title

Owner

Phone

(708) 969-1928

Specialties & licenses 1

Addresses

Other names 1

• Intern Goods Med Delivery Service Doing business as

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1023554599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 DRAKE LN STREET",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "60443",
            "telephone_number": "708-969-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5259 DRAKE LN",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431611",
            "telephone_number": "708-969-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERN GOODS MED DELIVERY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "EKOUE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-969-1928",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intern Goods Med Delivery Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Secured Medical Transport (VAN) in Matteson, IL
• Providers in Matteson, IL by specialty
• Secured Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.