Organization Active NPI

Glory Logistics LLC

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1053186288
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GLORY LOGISTICS LLC
Practice address
2532 W Warren Blvd Ste 10
Chicago, IL 60612-2124
Phone
(708) 476-1755
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Ronald D Miller
Title
Executive Director
Phone
(708) 545-5480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2532 W Warren Blvd Ste 10
Chicago, IL 60612-2124

Mailing address

2532 W Warren Blvd Ste 10
Chicago, IL 60612-2124
Phone (708) 476-1755

National Provider Directory

National Provider Directory

Locations

2532 W Warren Blvd
Ste 10
Chicago, IL 60612
Phone (708) 476-1755

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1053186288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 W WARREN BLVD STE 10",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122124",
            "telephone_number": "708-476-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 W WARREN BLVD STE 10",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122124",
            "telephone_number": "708-476-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY LOGISTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-545-5480"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "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 Nov 17, 2023; 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.