Eccentric 28 Transportation LLC

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

ECCENTRIC 28 TRANSPORTATION LLC

Practice address

6101 W 79TH St
Burbank, IL 60459-1368

Phone

(773) 407-5900

NPI assigned

May 23, 2023

Last updated

May 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dajuana SlattonNPI 1275425340

Title

Ceo

Phone

(773) 407-5900

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dajuana Slatton

  • Case Manager/Care Coordinator
  • Vermilion, OH
  • NPI 1275425340
  NPD Authorized official

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685232000000",
    "number": "1982396362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591368",
            "telephone_number": "773-407-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591368",
            "telephone_number": "773-407-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCENTRIC 28 TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-28",
        "certification_date": "2023-05-28",
        "status": "A",
        "authorized_official_last_name": "SLATTON",
        "authorized_official_first_name": "DAJUANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-407-5900"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Drexler, DPM MPH
• DRS Wang M.D.S.C
• Mary Kate Dunne, DVM
• Thomas Dzielawski, D.C.
• Dominique Eaves, FNP
• Marie Ellen Ellis, DO
• Adam Elmosa, DMD
• Sammy Anwar Elmosa, DDS
• Steve Anwar Elmosa, D.O.
• Yvette Escot

• Transportation Network Company in Burbank, IL
• Providers in Burbank, IL by specialty
• Transportation Network Company in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2023; 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.