NORTHWESTERN MEDIVAN INC (NPI# 1952682361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952682361 |
| Entity Type | Organization |
| Organization Name | NORTHWESTERN MEDIVAN INC |
| Practice Address |
480 Blue Heron Cir Bartlett IL 60103-2307 |
| Practice Telephone | 6308838677 |
| Practice Fax Number | 6308838676 |
| Mailing Telephone | 6308838677 |
| Mailing Fax Number | 6308838676 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Authorized Official Name | MR. MOHAMMED HASAN (VICE PRESIDENT) |
| Authorized Official Telephone | 6308838677 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 13204PT | IL | Transportation Services |
| Street Address |
480 BLUE HERON CIR |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1154817823 | Ada Oguejiofor | Registered Nurse | 269 Norway Drive, Bartlett, IL 60103 | 2018-07-06 |
| 1295153765 | Paul Alegro | Physical Therapy Assistant | 810 Seacrest Lane, Bartlett, IL 60103 | 2014-04-02 |
| 1184051211 | John Katsis | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2013-10-03 |
| 1356786743 | Rajiv Puri PC | Dentist | 849 S Route 59, Bartlett, IL 60103 | 2013-04-30 |
| 1356786784 | Gilbert Noble Bael | Physical Therapist | 829 Carillon Drive, Bartlett, IL 60103 | 2013-04-29 |
| 1912282641 | Elaine S Tate | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-10-13 |
| 1104108968 | Sonal Vyas | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-09-16 |
| 1144502261 | Les Edward Wingert | Pharmacist | 891 South Route 59, Bartlett, IL 60103 | 2011-09-14 |
| 1629389564 | Hope Hebert | Counselor | 364 Sundance Drive, Bartlett, IL 60103 | 2010-06-25 |
| Find all providers in zip 60103 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778065 | Talin Nemt Services | Non-emergency Medical Transport (VAN) | Talin Nemt Services, 6366 Newstone Dr Apt 103, Bartlett, TN 38135-9161 | 2020-04-14 |
| 1912538307 | N-time Nemt | Non-emergency Medical Transport (VAN) | 4533 Greencedar Ln, Bartlett, TN 38135-1329 | 2020-02-04 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1295135531 | Bridgett Taylor | Non-emergency Medical Transport (VAN) | 6747 Kirby Lakes Dr, Bartlett, TN 38135-2588 | 2014-08-22 |
| 1437576923 | Lashawn Smith | Non-emergency Medical Transport (VAN) | 5463 Rappahannock Dr, Bartlett, TN 38134-6225 | 2014-03-24 |
| 1528374360 | Safe Reliable Transportation | Non-emergency Medical Transport (VAN) | 7383 Lavita Cv, Bartlett, TN 38133-2699 | 2010-08-30 |
| 1790224517 | Tphs Transportation Service, LLC | Non-emergency Medical Transport (VAN) | 2855 Stage Village Cv, 8, Bartlett, TN 38134-4616 | 2017-02-13 |
| 1720423155 | Caring Hearts Transportation | Non-emergency Medical Transport (VAN) | 2874 Shelby St, Suite 202, Bartlett, TN 38134-4579 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619426 | Smart Port Care LLC | Non-emergency Medical Transport (VAN) | 152 S 5000w Rd, Kankakee, IL 60901-7902 | 2020-11-03 |
| 1386244721 | Philip Anipah | Non-emergency Medical Transport (VAN) | 7440 Tennessee Dr Apt 211, Willowbrook, IL 60527-2390 | 2020-10-26 |
| 1720687080 | Leron Hargrove-head | Non-emergency Medical Transport (VAN) | 16819 Glen Oaks Dr, Country Club Hills, IL 60478-2147 | 2020-10-19 |
| 1861090045 | Kind Care Illinois | Non-emergency Medical Transport (VAN) | 1617 Westminster Dr Apt 203, Naperville, IL 60563-9226 | 2020-10-11 |
| 1194332213 | Community Medical Transport Ltd | Non-emergency Medical Transport (VAN) | 534 16th St Ste C, Rock Island, IL 61201-8635 | 2020-09-24 |
| 1366058042 | Mary Oluwakemi Adedeji | Non-emergency Medical Transport (VAN) | 409 Carey Ct, Chicago Heights, IL 60411-1646 | 2020-09-18 |
| 1417568577 | Henry Oa Darko | Non-emergency Medical Transport (VAN) | 1830 Carl Dr, Round Lake Beach, IL 60073-1394 | 2020-08-12 |
| 1649881962 | Neneme LLC | Non-emergency Medical Transport (VAN) | 6201 Smokey Ridge Dr, Plainfield, IL 60586-5563 | 2020-08-11 |
| 1023627395 | Impact Medical Transport | Non-emergency Medical Transport (VAN) | 915 Il-106, Barry, IL 62312 | 2020-07-23 |
| 1336767086 | Tawanna Henry | Non-emergency Medical Transport (VAN) | 1755 E 72nd Pl Apt 2, Chicago, IL 60649-2839 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.