Active NPI
Destination Transit LLC
- Non-emergency Medical Transport (VAN)
- Chicago, IL
National Provider Identifier
1811774367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kori Williams
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Non-emergency Medical Transport (VAN)
- Phoenix, IL
- NPI 1205625449
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.