Provider Demographics
NPI:1003639816
Name:1ST STEP MEDICAL TRANSPORTATIONS CO
Entity type:Organization
Organization Name:1ST STEP MEDICAL TRANSPORTATIONS CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADONIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-678-4371
Mailing Address - Street 1:2529 CEDAR GLEN DR N
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60411-1512
Mailing Address - Country:US
Mailing Address - Phone:312-678-4371
Mailing Address - Fax:
Practice Address - Street 1:2529 CEDAR GLEN DR N
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60411-1512
Practice Address - Country:US
Practice Address - Phone:312-678-4371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker