Healthcare Provider Details

I. General information

NPI: 1851203061
Provider Name (Legal Business Name): PRIORITY CARE TRANSPORT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2242 GALLANT FOX CIR
MONTGOMERY IL
60538-3397
US

IV. Provider business mailing address

2242 GALLANT FOX CIR
MONTGOMERY IL
60538-3397
US

V. Phone/Fax

Practice location:
  • Phone: 708-571-8896
  • Fax: 630-800-4365
Mailing address:
  • Phone: 708-571-8896
  • Fax: 630-800-4365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KEWAN PIGRAM
Title or Position: OWNER
Credential:
Phone: 708-571-8896