Healthcare Provider Details

I. General information

NPI: 1679492524
Provider Name (Legal Business Name): LEORITE EXPRESS TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 TOWER DR APT 6B10
RICHTON PARK IL
60471-1384
US

IV. Provider business mailing address

3901 TOWER DR APT 6B10
RICHTON PARK IL
60471-1384
US

V. Phone/Fax

Practice location:
  • Phone: 414-324-8937
  • Fax:
Mailing address:
  • Phone: 414-324-8937
  • 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: SEGUN LAWRENCE
Title or Position: PRESIDENT
Credential:
Phone: 414-324-8937