Healthcare Provider Details

I. General information

NPI: 1497665889
Provider Name (Legal Business Name): JUST US TWO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10840 S CALUMET AVE
CHICAGO IL
60628-3611
US

IV. Provider business mailing address

10840 S CALUMET AVE
CHICAGO IL
60628-3611
US

V. Phone/Fax

Practice location:
  • Phone: 708-400-9406
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: NUSHUN RICE
Title or Position: MANAGER
Credential:
Phone: 708-200-4542