Pathwell Ride Corp
Non-emergency Medical Transport (VAN) in Mount Prospect, IL. Organization (NPI-2).
NPI number1336050574
StatusActive
Last updated in NPPESSep 16, 2026
Details
- NPI
- 1336050574
- Entity type
- Organization (NPI-2)
- Legal business name
- Pathwell Ride Corp
- Organization subpart
- No
- Enumeration date
- Sep 16, 2026
- Certification date
- Sep 16, 2026
- Last updated
- Sep 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
511 Blue Jay CtMount Prospect, IL 60056-6077
Phone 847-371-1343
Mailing address
511 Blue Jay CtMount Prospect, IL 60056-6077
Phone 847-371-1343
Authorized official
Seungsup Shin
Owner
8473711343
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