Individual provider Active NPI

Yinuss Aroba Amusa Sr.

  • Non-emergency Medical Transport (VAN)
  • Mount Prospect, IL
National Provider Identifier
1295307247
Registry record updated Jul 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
A52096158257 Issued in IL
Practice address
1340 S Elmhurst Rd Apt 211
Mount Prospect, IL 60056-5219
Phone
(773) 681-1003
Fax
(773) 338-2874
NPI assigned
Jul 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X A52096158257 IL Primary

Addresses

Primary practice location

1340 S Elmhurst Rd Apt 211
Mount Prospect, IL 60056-5219

Mailing address

1340 S Elmhurst Rd Apt 211
Mount Prospect, IL 60056-5219
Phone (773) 681-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A52096158257ILMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625875200000",
    "number": "1295307247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S ELMHURST RD APT 211",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565219",
            "telephone_number": "773-681-1003",
            "fax_number": "773-338-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S ELMHURST RD APT 211",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565219",
            "telephone_number": "773-681-1003",
            "fax_number": "773-338-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUSA",
        "first_name": "YINUSS",
        "middle_name": "AROBA",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "A52096158257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.