Organization Active NPI

Southland Transportation LLC

  • Driver
  • Chicago, IL
National Provider Identifier
1730043738
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.