WB Good Faith Transportation

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

B65052483839 Issued in IL

Legal business name

WB GOOD FAITH TRANSPORTATION

Practice address

6949 S Merrill Ave
Chicago, IL 60649-1728

Phone

(773) 877-9665

Fax

(773) 442-0672

NPI assigned

Oct 25, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Latoya Brown, TRANSPORTATION

Title

Transportation Provider

Phone

(773) 877-9665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1891071650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6949 S MERRILL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491728",
            "telephone_number": "773-877-9665",
            "fax_number": "773-442-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6949 S MERRILL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491728",
            "telephone_number": "773-877-9665",
            "fax_number": "773-442-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WB GOOD FAITH TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "TRANSPORTATION PROVIDER",
        "authorized_official_telephone_number": "773-877-9665",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "TRANSPORTATION"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "IL",
            "license": "B65052483839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Chicago, IL
• Providers in Chicago, IL by specialty
• Private Vehicle in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.