Healthcare Provider Details

I. General information

NPI: 1285576066
Provider Name (Legal Business Name): FAST RELIABLE QUICK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 1/2 W NORTH ST STE C
NORMAL IL
61761-2587
US

IV. Provider business mailing address

803 S CENTER ST
BLOOMINGTON IL
61701-6452
US

V. Phone/Fax

Practice location:
  • Phone: 773-302-9714
  • Fax:
Mailing address:
  • Phone: 309-207-6768
  • 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: QUNSHAWN GARDNER
Title or Position: MANAGER
Credential:
Phone: 309-207-6768