MEDICARE: HARRIS TDI TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1306797212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS TDI TRANSPORTATION

Provider Business Mailing Address
First Line	:	8042 S WINCHESTER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-5326
Country	:	US
Telephone Number	:	708-466-7360
Fax Number	:

Provider Business Practice Location Address
First Line	:	8042 S WINCHESTER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-5326
Country	:	US
Telephone Number	:	708-466-7360
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	OLUSEYI HARRIS
Credential	:
Telephone Number	:	708-466-7360

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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