City Wide Express Transportation

Primary specialty

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

License

6820MC Issued in IL

Legal business name

CITY WIDE EXPRESS TRANSPORTATION

Practice address

1304 W 77TH St
Chicago, IL 60620-3730

Phone

(773) 994-9631

Fax

(773) 783-6058

NPI assigned

Sep 7, 2010

Last updated

Sep 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Wilnessa Mims

Title

Owner

Phone

(773) 994-9631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1386951739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 W 77TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203730",
            "telephone_number": "773-994-9631",
            "fax_number": "773-783-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W 77TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203730",
            "telephone_number": "773-994-9631",
            "fax_number": "773-783-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY WIDE EXPRESS TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "WILNESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-994-9631",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "6820MC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Chicago Dep. of Public Health
• City of Chicago Department of Mental Health
• City of Chicago Department of Mental Health
• City of Chicago: Greater Lawn Community Mental Health Center
• City of Chicago: North River Behavioral Health Center
• City Wide Home Medical Supplies Inc
• Citypsych Counseling, PLLC
• Cityscape Counseling, P.C.
• Lauren Marie Ciulla, MD
• Christine Theresa Ciullo, D.M.D

• 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 Sep 7, 2010; 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.