TELECAB ILLINOIS LLC
Complete NPI Record 1518314608
Taxi in Joliet, IL

NPI Status: Active since May 18, 2016

Contact Information

550 N CHICAGO ST
JOLIET, IL
ZIP 60432
Phone: (815) 726-8294

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Complete NPI Dataset

This page represents the complete record for NPI 1518314608. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1518314608
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Entity Type Code: 2
Employer Identification Number EIN: UNAVAIL
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
Provider First Line Business Mailing Address: 2100 CLEARWATER DR
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: OAK BROOK
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: IL
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 605231927
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider First Line Business Practice Location Address: 550 N CHICAGO ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: JOLIET
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: IL
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Provider Business Practice Location Address Postal Code: 604321747
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Practice Location Address Country Code If outside U S : US
The last name of the provider. If the provider is an individual, this is the legal name.
Provider Business Practice Location Address Telephone Number: 8157268294
The first name of the provider, if the provider is an individual.
Provider Enumeration Date: 5/18/2016
The middle name of the provider, if the provider is an individual.
Last Update Date: 5/18/2016
The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Authorized Official Last Name: BENISH
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: ANTHONY
The first name of the authorized official.
Authorized Official Title or Position: OWNER
The city name in the mailing address of the provider being identified.
Authorized Official Telephone Number: 7085609840
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Healthcare Provider Taxonomy Code 1: 344600000X
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Healthcare Provider Primary Taxonomy Switch 1: Y
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Is Organization Subpart: N
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Authorized Official Name Prefix Text: MR.
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.