Johnson O Adeleke
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Calumet City, IL
NPI 1326323494 · NPPES record last updated Oct 20, 2011
Key facts
- NPI
- 1326323494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- License
- 67809629 (IL)
- Practice address
- 387 Luella Ave
Calumet City, IL 60409-2207 - Phone
- (708) 868-8551
- Fax
- (708) 868-8551
- NPI assigned
- Oct 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67809629 | IL | MD | Non-emergency Medical Transport (VAN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 67809629 | IL | Yes |
Addresses
Primary practice location
387 Luella Ave
Calumet City, IL 60409-2207
Mailing address
387 Luella Ave
Calumet City, IL 60409-2207
Phone (708) 868-8551
Other providers in Calumet City, IL
- A & S Divine Healthcare Services PLLC
- A New Way to Go DME Supply, Inc.
- Aatom Medical Transportation Services Inc
- Capri Adams
- Oluwafunke Adebanji
- Kayode O Adeoye
- Afzal Ahmad
- Gadallah A Alawi
- Nicole Rochelle Albright
- Janice Aldrich-French
All providers in Calumet City, IL · Non-emergency Medical Transport (VAN) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.