Active NPI
Southland Transportation LLC
- Driver
- Chicago, IL
National Provider Identifier
1730043738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Legal business name
- SOUTHLAND TRANSPORTATION LLC
- Practice address
- 11623 S Longwood Dr
Chicago, IL 60643-4829 - Phone
- (708) 502-8190
- NPI assigned
- Dec 13, 2025
- Last updated
- Dec 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mylan Leo Sanders
- Title
- Owner
- Phone
- (708) 502-8190
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | NU | Primary | |
| Physical Therapy Assistant | 225200000X | NU |
Addresses
Primary practice location
11623 S Longwood Dr
Chicago, IL 60643-4829
Mailing address
5469 Edison Ave
Oak Lawn, IL 60453-2943
Phone (708) 502-8190
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765584000000",
"number": "1730043738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5469 EDISON AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532943",
"telephone_number": "708-502-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11623 S LONGWOOD DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434829",
"telephone_number": "708-502-8190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHLAND TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-13",
"last_updated": "2025-12-13",
"certification_date": "2025-12-06",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "MYLAN",
"authorized_official_middle_name": "LEO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-502-8190",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Southern Pharmacy Inc (Southern Pharmacy)
- Karl Southgate, PSY.D., L.P.C.
- Southland Chiropractic and Rehab
- Southland Equipment LLC
- Southland Home Care, LLC Dba Acti-Kare Responsive in-Home Care/South Holland
- Southpoint Nursing and Rehabilitation Center LLC
- Southport Eye Associates LTD (Custom Eyes)
- Southport Grace Chiropractic and Wellness LLC
- Southport Grace Wellness Center LTD.
- Southshore Care Center, LLC (South Shore Nursing & Rehab Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.