KYLE JOSHUA BLAKELY


Address: 6036 S Green St Apt 2, Chicago, IL 60621-2169
Phone: 3122787494

KYLE JOSHUA BLAKELY (NPI# 1316572365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316572365
Entity Type Individual
Full Name KYLE JOSHUA BLAKELY
Practice Address 6036 S Green St Apt 2
Chicago
IL 60621-2169
Practice Telephone 3122787494
Mailing Telephone 3122787494
Enumeration Date 2020-03-10
Last Update Date 2020-03-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 343900000X Non-emergency Medical Transport (VAN) Transportation Services

Provider Secondary Practice Location

Address Telephone Number Fax Number
1200 W 35th St Ste 309, Chicago, IL 606091305 3122787494

Office Location

Street Address 6036 S GREEN ST APT 2
City CHICAGO
State IL
Zip Code 60621-2169

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740803394 Conrad Care Incorporated Home Health 142 W . 62nd Street, Suite 203, Chicago, IL 60621 2020-05-18
1275068876 St. Bernard Hospital Ambulatory Care Clinic Clinic/Center 6307 S Stewart, Chicago, IL 60621 2017-04-21
1063954519 Created2careltd Secured Medical Transport (VAN) 5632 S. Emerald Ave, Chicago, IL 60621 2016-11-15
1932566023 Windycitywheelchairservice Technician, Other 6427 S Parnell Ave, Chicago, IL 60621 2016-01-21
1194127787 Aaa-1 Transportation Secured Medical Transport (VAN) 5740 S Emerald Ave, Chicago, IL 60621 2014-09-25
1871893859 Anuj Jain Family Medicine 6508 S Halsted Street, Chicago, IL 60621 2010-10-25
1750538104 Adolfo M. Maglaya, M.d., S.c. Internal Medicine 326 W. 64th St., Chicago, IL 60621 2008-08-27
1083882997 Englewood Satellite Senior Center Clinic/Center 657 W. 63rd St, Chicago, IL 60621 2008-02-13
1295952059 Carrington Radiology, S.c. Radiology St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 2007-04-20
1851427660 Dilipkumar Parikh Md Internal Medicine 324 West 64th St, Suite 216, Chicago, IL 60621 2007-02-26
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Taxonomy Information

Taxonomy Code 343900000X
Grouping Transportation Services
Classification Non-emergency Medical Transport (VAN)

Taxonomy Definition

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336767086 Tawanna Henry Non-emergency Medical Transport (VAN) 1755 E 72nd Pl Apt 2, Chicago, IL 60649-2839 2020-07-09
1801412945 Genesis Global Transportation LLC Non-emergency Medical Transport (VAN) 4655 S Lake Park Ave Apt 320, Chicago, IL 60653-4534 2020-06-24
1295357317 Tru Hard Money Non-emergency Medical Transport (VAN) 8342 S Green St, Chicago, IL 60620-3160 2020-05-12
1588283170 Hdj Transport Corporation Non-emergency Medical Transport (VAN) 823 N Hamlin Ave, Chicago, IL 60651-3825 2020-04-13
1043846058 Devin Artyse Brown Non-emergency Medical Transport (VAN) 7600 S Hoyne Ave, Chicago, IL 60620-5737 2020-03-21
1104451293 Bojakz Companies Non-emergency Medical Transport (VAN) 7326 S Wabash Ave, Chicago, IL 60619-1625 2020-03-09
1043841299 Glenda Shorter Non-emergency Medical Transport (VAN) 4423 S Prairie Ave Apt G, Chicago, IL 60653-3202 2020-01-27
1699315812 Kjr Depot Inc Non-emergency Medical Transport (VAN) 4740 W Fulton St, Chicago, IL 60644-2713 2020-01-15
1720624943 Bianna Jones Non-emergency Medical Transport (VAN) 4637 W Adams St, Chicago, IL 60644-4632 2019-11-22
1780220079 Tara Coleman Non-emergency Medical Transport (VAN) 808 E. 63rd Street, Suite 135, Chicago, IL 60637 2019-11-21
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Competitor

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City CHICAGO
Zip Code 60621

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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