Healthcare Provider Details
I. General information
NPI: 1487498853
Provider Name (Legal Business Name): JOHNEST TRANSPORTATION AND CONCIERGE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2024
Last Update Date: 01/09/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3413 W 76TH ST
CHICAGO IL
60652-1404
US
IV. Provider business mailing address
W 76TH ST
CHICAGO IL
60652-1404
US
V. Phone/Fax
- Phone: 773-780-7140
- Fax:
- Phone: 872-210-0090
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AKASSI ESTELLE
GRANT
Title or Position: CEO
Credential:
Phone: 872-210-0090