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NPI 1801358262 · Secured Medical Transport (VAN) · Hickory Hills, IL
Provider details
- NPI number
- 1801358262
- Entity type
- Individual
- Primary specialty
- Secured Medical Transport (VAN)Transportation Services
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Transportation Services
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9525 S 79th Ave Ste 208
Hickory Hills, IL 60457-2378
Phone: (630) 644-8366
Fax: (708) 634-2760
Street-level locationGet directions
Mailing address
9525 S 79th Ave Ste 208
Hickory Hills, IL 60457-2378
Registry dates
- Enumerated
- 2019-04-04
- Last updated
- 2019-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.