Individual provider Active NPI

Robina Thompson-Glover

  • Non-emergency Medical Transport (VAN)
  • Dolton, IL
National Provider Identifier
1871065953
Registry record updated Dec 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
T512-7376-6659 Issued in IL
Practice address
14815 Ellis Ave
Dolton, IL 60419-2215
Phone
(708) 979-1711
NPI assigned
Dec 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X T512-7376-6659 IL Primary

Addresses

Primary practice location

14815 Ellis Ave
Dolton, IL 60419-2215

Mailing address

14815 Ellis Ave
Dolton, IL 60419-2215
Phone (708) 979-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T512-7376-6659ILMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1871065953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 ELLIS AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192215",
            "telephone_number": "708-979-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 ELLIS AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192215",
            "telephone_number": "708-979-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-GLOVER",
        "first_name": "ROBINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "T512-7376-6659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; 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.