MR. JOVON MALIK MCDONALD (NPI# 1528224102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528224102 |
| Entity Type | Individual |
| Full Name | MR. JOVON MALIK MCDONALD |
| Practice Address |
19901 Terrace Ave Lynwood IL 60411-1309 |
| Practice Telephone | 7738587378 |
| Practice Fax Number | 7082515060 |
| Mailing Telephone | 7738587378 |
| Mailing Fax Number | 7082515060 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | M23543381018 | IL | Transportation Services |
| Street Address |
19901 TERRACE AVE |
| City | LYNWOOD |
| State | IL |
| Zip Code | 60411-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548745730 | Ret Services | Non-emergency Medical Transport (VAN) | 3007 197th St, Lynwood, IL 60411-6815 | 2018-10-03 |
| 1366983876 | Isabel Villegas | Non-emergency Medical Transport (VAN) | 3143 Los Flores Blvd, Lynwood, CA 90262-2401 | 2017-03-16 |
| 1710349915 | Medi-miles Non Emergency Transportation | Non-emergency Medical Transport (VAN) | 2450 198th St, Apt 2w, Lynwood, IL 60411-1387 | 2016-03-26 |
| 1033516497 | Saving Grace Transportation, Inc. | Non-emergency Medical Transport (VAN) | 2300 199th St, Lynwood, IL 60411-9664 | 2014-12-01 |
| 1437558707 | Tony Smith Sr. | Non-emergency Medical Transport (VAN) | 20064 Lake Lynwood Dr, Lynwood, IL 60411-1548 | 2014-08-22 |
| 1942623236 | Dependable & Reliable Transportation | Non-emergency Medical Transport (VAN) | 1965 Glenwood Dyer Rd, Lynwood, IL 60411-8651 | 2014-01-23 |
| 1801103429 | Devine Services Inc | Non-emergency Medical Transport (VAN) | 20055 Monterey Ave, Lynwood, IL 60411-1517 | 2010-09-02 |
| 1053853010 | Quentin Crockett | Non-emergency Medical Transport (VAN) | 19712 Crescent Ave, Lynwood, IL 60411-1460 | 2016-11-08 |
| 1194279695 | D & D Transit Inc | Non-emergency Medical Transport (VAN) | 1965 Glenwood Dyer Rd, Lynwood, IL 60411-8651 | 2016-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619426 | Smart Port Care LLC | Non-emergency Medical Transport (VAN) | 152 S 5000w Rd, Kankakee, IL 60901-7902 | 2020-11-03 |
| 1386244721 | Philip Anipah | Non-emergency Medical Transport (VAN) | 7440 Tennessee Dr Apt 211, Willowbrook, IL 60527-2390 | 2020-10-26 |
| 1720687080 | Leron Hargrove-head | Non-emergency Medical Transport (VAN) | 16819 Glen Oaks Dr, Country Club Hills, IL 60478-2147 | 2020-10-19 |
| 1861090045 | Kind Care Illinois | Non-emergency Medical Transport (VAN) | 1617 Westminster Dr Apt 203, Naperville, IL 60563-9226 | 2020-10-11 |
| 1194332213 | Community Medical Transport Ltd | Non-emergency Medical Transport (VAN) | 534 16th St Ste C, Rock Island, IL 61201-8635 | 2020-09-24 |
| 1366058042 | Mary Oluwakemi Adedeji | Non-emergency Medical Transport (VAN) | 409 Carey Ct, Chicago Heights, IL 60411-1646 | 2020-09-18 |
| 1417568577 | Henry Oa Darko | Non-emergency Medical Transport (VAN) | 1830 Carl Dr, Round Lake Beach, IL 60073-1394 | 2020-08-12 |
| 1649881962 | Neneme LLC | Non-emergency Medical Transport (VAN) | 6201 Smokey Ridge Dr, Plainfield, IL 60586-5563 | 2020-08-11 |
| 1023627395 | Impact Medical Transport | Non-emergency Medical Transport (VAN) | 915 Il-106, Barry, IL 62312 | 2020-07-23 |
| 1336767086 | Tawanna Henry | Non-emergency Medical Transport (VAN) | 1755 E 72nd Pl Apt 2, Chicago, IL 60649-2839 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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| 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.