JERRY THOMAS NPI 1447111604

NPI Information

  • NPI: 1447111604
  • Provider Name: JERRY THOMAS
  • Classification: Non-emergency Medical Transport (VAN) - 343900000X
  • Entity Type: Individual
  • Address: 630 ENGLE ST
    DOLTON, IL
    ZIP 60419
  • Phone: (773) 783-3767

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NPI Details

Jerry Thomas is a non emergency medical transport van in Dolton, IL. The provider is 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. Jerry Thomas NPI is 1447111604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

630 ENGLE ST
DOLTON, IL
ZIP 60419-719
Phone: (773) 783-3767

The enumeration date for this NPI number is 11/18/2025 and was last updated on 11/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1274659333001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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