Organization Active NPI

Destination Transit LLC

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1811774367
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
DESTINATION TRANSIT LLC
Practice address
5078 W Adams St
Chicago, IL 60644-4342
Phone
(708) 880-9084
NPI assigned
Sep 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Kori WilliamsNPI 1205625449
Title
Ceo
Phone
(708) 400-0679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

5078 W Adams St
Chicago, IL 60644-4342

Mailing address

6545 W Dickens Ave Apt 2W
Chicago, IL 60707-3482
Phone (708) 400-0679

Other practice location 1

137 N Oak Park Ave Ste 2155522
Oak Park, IL 60301-1344
Phone (708) 880-9084

National Provider Directory

National Provider Directory

Locations

137 N Oak Park Ave
Ste 2155522
Oak Park, IL 60301
Phone (708) 880-9084

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1811774367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 W DICKENS AVE APT 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073482",
            "telephone_number": "708-400-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5078 W ADAMS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444342",
            "telephone_number": "708-880-9084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 N Oak Park Ave Ste 2155522",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011344",
            "country_code": "US",
            "telephone_number": "708-880-9084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESTINATION TRANSIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KORI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-400-0679"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Apr 2, 2024; 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.