Blue-Chip Medical Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

6062801 Issued in IL

Legal business name

BLUE-CHIP MEDICAL TRANSPORTATION

Practice address

10815 S Eberhart Ave
Chicago, IL 60628-3709

Phone

(773) 821-6674

Fax

(773) 821-9545

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Jerome Pierce

Title

President

Phone

(773) 821-6674

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083888747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 S EBERHART AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283709",
            "telephone_number": "773-821-6674",
            "fax_number": "773-821-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 S EBERHART AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606283709",
            "telephone_number": "773-821-6674",
            "fax_number": "773-821-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE-CHIP MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-821-6674",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "6062801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Chicago, IL
• Providers in Chicago, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• 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.