Double D Meditrans LLC

Primary specialty

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

Legal business name

DOUBLE D MEDITRANS LLC

Doing business as

DDMeditrans

Practice address

2520 E State St
Burnham, IL 60633-2258

Phone

(312) 626-6616

NPI assigned

Sep 6, 2022

Last updated

Sep 6, 2022By 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

Mr. Edward Etika

Title

MD

Phone

(312) 626-6616

Specialties & licenses 1

Addresses

Other names 1

• DDMeditrans Doing business as

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1396466595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 E STATE ST",
            "city": "BURNHAM",
            "state": "IL",
            "postal_code": "606332258",
            "telephone_number": "312-626-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 E STATE ST",
            "city": "BURNHAM",
            "state": "IL",
            "postal_code": "606332258",
            "telephone_number": "312-626-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE D MEDITRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "ETIKA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "312-626-6616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDMeditrans",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Bryan
• Burnham Healthcare Properties,LLC (burnham healthcare)
• Burnham School District 154.5
• BWCT Transportation
• Compassionate Professional Home Care, Inc.
• Patience Edarenor
• Cherita D Epps
• Grand Prairie Services
• Latoya T Hall
• Kenon Harding

• Non-emergency Medical Transport (VAN) in Burnham, IL
• Providers in Burnham, 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 6, 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.