MEDICARE: JAB TRANSPORTATION INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	C455-0657-4120	IL

General Provider Information

NPI Number	:	1952575912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAB TRANSPORTATION INC.

Provider Business Mailing Address
First Line	:	4601 MISTRAL LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-5057
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4905 S WABASH AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-2114
Country	:	US
Telephone Number	:	877-287-8793
Fax Number	:	877-866-1786

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRYANT EZELL COLEMAN
Credential	:
Telephone Number	:	757-348-3118

Provider Enumeration Date	:	04/21/2008
Last Update Date	:	04/21/2008

Similar Medicare Providers

1205950458 — DR. RIMA MCLEOD M.D.
Practice Location Address:

5841 S MARYLAND AVE , S-206, MC 2114
CHICAGO, IL
60637-1447

Practice Phone: 773-834-4130
Practice Fax: 773-834-3577

1902004369 — MRS. MEAGHAN BENJAMIN MA CCC-SLP
Practice Location Address:

2114 W SHAKESPEARE AVE
CHICAGO, IL
60647-3316

Practice Phone: 773-504-7119
Practice Fax:

1841464518 — SARAH R SPRINGER
Practice Location Address:

2114 W CUYLER AVE
CHICAGO, IL
60618-3014

Practice Phone: 312-852-1303
Practice Fax:

1063742161 — DR. ARMIN AFSHAR M.D.
Practice Location Address:

5841 S MARYLAND AVE , MC 2114
CHICAGO, IL
60637-1447

Practice Phone: 773-702-3937
Practice Fax: 773-702-0830

1952788796 — DR. PATRICK RAY SINCLAIR D.O.
Practice Location Address:

151 N MICHIGAN AVE , APT. 2114
CHICAGO, IL
60601-7506

Practice Phone: 734-968-6076
Practice Fax:

1598275810 — ALEXA NICOLE LONGSWORTH M.S CCC-SLP
Practice Location Address:

3950 N LAKE SHORE DR APT 2114
CHICAGO, IL
60613-5103

Practice Phone: 773-349-0415
Practice Fax:

Directions to “JAB TRANSPORTATION INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.