Organization Active NPI

Mustang Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Lincolnwood, IL
National Provider Identifier
1457510802
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MUSTANG TRANSPORTATION INC
Practice address
4656 W Touhy Ave
Suite 500
Lincolnwood, IL 60712-1656
Phone
(847) 329-1275
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Mrs. Viktpriya Vodovozova
Title
Owner
Phone
(847) 329-1275

Specialties & licenses 1

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

Addresses

Primary practice location

4656 W Touhy Ave
Suite 500
Lincolnwood, IL 60712-1656

Mailing address

4656 W Touhy Ave
Suite 500
Lincolnwood, IL 60712-1656
Phone (847) 329-1275

National Provider Directory

National Provider Directory

Locations

4656 W Touhy Ave
Ste 500
Lincolnwood, IL 60712
Phone (847) 329-1275

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1457510802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4656 W TOUHY AVE",
            "address_2": "SUITE 500",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121656",
            "telephone_number": "847-329-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4656 W TOUHY AVE",
            "address_2": "SUITE 500",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121656",
            "telephone_number": "847-329-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "VODOVOZOVA",
        "authorized_official_first_name": "VIKTPRIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-329-1275",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.