Jovon Malik McDonald

Primary specialty

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

License

M23543381018 Issued in IL

Practice address

19901 Terrace Ave
Lynwood, IL 60411-1309

Phone

(773) 858-7378

Fax

(708) 251-5060

NPI assigned

Aug 1, 2008

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

State licenses

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1528224102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19901 TERRACE AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111309",
            "telephone_number": "773-858-7378",
            "fax_number": "708-251-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19901 TERRACE AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111309",
            "telephone_number": "773-858-7378",
            "fax_number": "708-251-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JOVON",
        "middle_name": "MALIK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "M23543381018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika Nicole Lewis
• Lisamel LLC
• Jade Reniece Mackey
• Lynette Mahone
• June J McCain
• Ronda McGruder Miller
• Medi-Miles Non Emergency Transportation
• Amos B Miamen
• Chanel Marie Moore
• Debbie Lynn Moore, SLP/L

• Non-emergency Medical Transport (VAN) in Lynwood, IL
• Providers in Lynwood, 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 Aug 1, 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.