NPIMap

Organization Active NPI

Northwestern Medivan Inc

  • Non-emergency Medical Transport (VAN)
  • Bartlett, IL
National Provider Identifier
1952682361
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
13204PT Issued in IL
Legal business name
NORTHWESTERN MEDIVAN INC
Practice address
480 Blue Heron Cir
Bartlett, IL 60103-2307
Phone
(630) 883-8677
Fax
(630) 883-8676
NPI assigned
Aug 31, 2011
Last updated
Aug 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Mr. Mohammed Hasan
Title
Vice President
Phone
(630) 883-8677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 13204PT IL Primary

Addresses

Primary practice location

480 Blue Heron Cir
Bartlett, IL 60103-2307

Mailing address

480 Blue Heron Cir
Bartlett, IL 60103-2307
Phone (630) 883-8677

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1952682361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 BLUE HERON CIR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601032307",
            "telephone_number": "630-883-8677",
            "fax_number": "630-883-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 BLUE HERON CIR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601032307",
            "telephone_number": "630-883-8677",
            "fax_number": "630-883-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN MEDIVAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "630-883-8677",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "13204PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.