Healthcare Provider Details

I. General information

NPI: 1255277117
Provider Name (Legal Business Name): SAFE ON THE GO TRANSPORT NEMT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20280 GOVERNORS HWY STE 301
OLYMPIA FIELDS IL
60461-1076
US

IV. Provider business mailing address

20280 GOVERNORS HWY STE 301
OLYMPIA FIELDS IL
60461-1076
US

V. Phone/Fax

Practice location:
  • Phone: 708-674-1181
  • Fax:
Mailing address:
  • Phone: 708-674-1181
  • 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: JAZMIN M BUNCH
Title or Position: DIRECTOR
Credential: RN, BSN
Phone: 708-674-1181