is a Emergency Medical Services in Chicago, Illinois. practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for is 1821109638. The last update date is .
's current location address is 2537 Momentum Pl, Chicago, Illinois. You can contact this provider via phone number 6169751845 and fax number 6162850846. The mailing address for is 2537 Momentum Pl, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2537 Momentum Pl, Chicago, Illinois |
| Phone Number | 6169751845 |
| Fax Number | 6162850846 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1821109638 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2537 Momentum Pl |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606895325 |
| Phone Number | 6169751845 |
| Fax Number | 6162850846 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 5101016015 |
|
Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00693713 | MI | RAILROAD MEDICARE |
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