Organization Active NPI

Pathwell Ride Corp

  • Non-emergency Medical Transport (VAN)
  • Mount Prospect, IL
National Provider Identifier
1336050574
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PATHWELL RIDE CORP
Practice address
511 Blue Jay CT
Mount Prospect, IL 60056-6077
Phone
(847) 371-1343
NPI assigned
Sep 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Seungsup Shin
Title
Owner
Phone
(847) 371-1343

Specialties & licenses 1

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

Addresses

Primary practice location

511 Blue Jay CT
Mount Prospect, IL 60056-6077

Mailing address

511 Blue Jay CT
Mount Prospect, IL 60056-6077
Phone (847) 371-1343

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1336050574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BLUE JAY CT",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566077",
            "telephone_number": "847-371-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BLUE JAY CT",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566077",
            "telephone_number": "847-371-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWELL RIDE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "SEUNGSUP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-371-1343"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.