Provider Demographics
NPI:1326744764
Name:JOHNWHEELS TRANSPORTATION
Entity Type:Organization
Organization Name:JOHNWHEELS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHANLER
Authorized Official - Middle Name:SAMIR
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-302-2169
Mailing Address - Street 1:236 LORRAINE AVE
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-3620
Mailing Address - Country:US
Mailing Address - Phone:224-302-2169
Mailing Address - Fax:
Practice Address - Street 1:236 LORRAINE AVE
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-3620
Practice Address - Country:US
Practice Address - Phone:224-302-2169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company