Nushape Illinois Inc.

Primary specialty

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

Legal business name

NUSHAPE ILLINOIS INC.

Practice address

1154 S 7TH Ave
Kankakee, IL 60901-4708

Phone

(815) 570-9733

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Duprey

Title

Director

Phone

(815) 570-9733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1598088338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 S 7TH AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014708",
            "telephone_number": "815-570-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 S 7TH AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014708",
            "telephone_number": "815-570-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSHAPE ILLINOIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "DUPREY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-570-9733",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Tin Ngwe, M.D.
• Richard Scot Nicklas, DDS
• Judith Njoroge, DO
• Novus Illinois Service Corporation
• Danielle D Nunley, PHARMD
• Phillip Michael O'Connor, M.D.
• Oakside Corporation
• Oakside Corporation
• Michael C Olimene, PHARM D
• Brian Patrick Olofsson, MD

• Non-emergency Medical Transport (VAN) in Kankakee, IL
• Providers in Kankakee, 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 Mar 8, 2010; 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.