Organization Active NPI

Tulsa Transportation LLC

  • Transportation Broker
  • Chicago, IL
National Provider Identifier
1033603121
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
TULSA TRANSPORTATION LLC
Practice address
1657 S Troy St Ste B
Chicago, IL 60623-2260
Phone
(312) 933-4859
NPI assigned
Jun 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dawn L Willis
Title
Assistant
Phone
(224) 575-2118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X IL Primary

Addresses

Primary practice location

1657 S Troy St Ste B
Chicago, IL 60623-2260

Mailing address

1657 S Troy St Ste B
Chicago, IL 60623-2260
Phone (312) 933-4859

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": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033603121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 S TROY ST STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232260",
            "telephone_number": "312-933-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 S TROY ST STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232260",
            "telephone_number": "312-933-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "224-575-2118"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.