Non-Emergency Medical Transportation of Illinois

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

NON-EMERGENCY MEDICAL TRANSPORTATION OF ILLINOIS

Practice address

5567 N Elston Ave
Chicago, IL 60630-1314

Phone

(773) 774-8999

Fax

(773) 774-4744

NPI assigned

Feb 1, 2013

Organization subpart

No

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

Authorized official

Name

Brian Witek

Title

President

Phone

(773) 774-8999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1508105131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5988",
            "address_2": "DEPT. 20-5056",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975988",
            "telephone_number": "773-774-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5567 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301314",
            "telephone_number": "773-774-8999",
            "fax_number": "773-774-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NON-EMERGENCY MEDICAL TRANSPORTATION OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "WITEK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-774-8999"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Secured Medical Transport (VAN) in Chicago, IL
• Providers in Chicago, IL by specialty
• Secured Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.