Healthcare Provider Details

I. General information

NPI: 1023926524
Provider Name (Legal Business Name): SALAH TRANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7150 N TERRA VISTA DR APT 906
PEORIA IL
61614-1314
US

IV. Provider business mailing address

7150 N TERRA VISTA DR APT 906
PEORIA IL
61614-1314
US

V. Phone/Fax

Practice location:
  • Phone: 309-215-7831
  • Fax:
Mailing address:
  • Phone: 309-215-7831
  • 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: MR. SALAH ALMAGRABI
Title or Position: WHEELCHAIR VAN DRIVER
Credential:
Phone: 309-215-7831