Healthcare Provider Details

I. General information

NPI: 1710294368
Provider Name (Legal Business Name): ELITE MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2010
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11551 184TH PL
ORLAND PARK IL
60467-4900
US

IV. Provider business mailing address

11551 184TH PL
ORLAND PARK IL
60467-4900
US

V. Phone/Fax

Practice location:
  • Phone: 708-995-1187
  • Fax: 708-995-7230
Mailing address:
  • Phone: 708-995-1187
  • Fax: 708-995-7230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number8085
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: RHONDA VANDENBERG
Title or Position: OWNER
Credential:
Phone: 708-995-1187