Healthcare Provider Details

I. General information

NPI: 1811814395
Provider Name (Legal Business Name): PERFECT MILE CARRIER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3942 W 21ST ST # 2W
CHICAGO IL
60623-2810
US

IV. Provider business mailing address

3942 W 21ST ST # 2W
CHICAGO IL
60623-2810
US

V. Phone/Fax

Practice location:
  • Phone: 773-919-0001
  • Fax:
Mailing address:
  • Phone: 773-919-0001
  • 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: DECARTYS D MONTGOMERY
Title or Position: MANAGING MEMBER
Credential:
Phone: 773-919-0001