Robert Benjamin Hudson Sr.

Primary specialty

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

Practice address

10061 W Mawman Ave
Beach Park, IL 60087-2432

Phone

(312) 978-1780

NPI assigned

Feb 21, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1447958210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 W MAWMAN AVE",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600872432",
            "telephone_number": "312-978-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10061 W MAWMAN AVE",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600872432",
            "telephone_number": "312-978-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ROBERT",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Evelyn Gallardo
• Grishma V. Gandhi
• Golden Star Healthcare Inc
• Jennifer Lynn Heuschmidt, OTR/L
• Kelly A. Holverson, M.S., CCC-SLP
• Tayseer Ahmed Ibrahim
• Kelly M Ingram
• Roberta Jeter
• Amal Khaled, LAC, MSOM
• Robin Jean Kieffer

• All providers in Beach Park, IL
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.