GREAT GRACE LLC NPI 1902716343

NPI Information

NPI: 1902716343
Provider Name: GREAT GRACE LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address: 5251 GALITZ ST
SKOKIE, IL
ZIP 60077
Phone: (872) 235-5646

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NPI Details

GREAT GRACE LLC is a non emergency medical transport van in Skokie, 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. GREAT GRACE LLC NPI is 1902716343. The provider is registered as an organization entity type.

The provider's business location address is:

5251 GALITZ ST
SKOKIE, IL
ZIP 60077-669
Phone: (872) 235-5646

The provider's authorized official is Synthia Fomum .
The authorized official title is President and has the following contact phone number (872) 235-5646.

The enumeration date for this NPI number is 9/9/2026 and was last updated on 9/9/2026.

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
1	343900000X	Non-emergency Medical Transport (VAN)				Yes

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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