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ANTIOCH RESCUE SQUAD NPI 1770540049


NPI Information

NPI: 1770540049
Provider Name: ANTIOCH RESCUE SQUAD
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
835 HOLBECK DR
ANTIOCH, IL
ZIP 60002
Phone: (847) 395-0302
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ANTIOCH RESCUE SQUAD is a land transport ambulance in Antioch, IL. ANTIOCH RESCUE SQUAD NPI is 1770540049. The provider is registered as an organization entity type.

The provider's business location address is:

835 HOLBECK DR
ANTIOCH, IL
ZIP 60002-270
Phone: (847) 395-0302
Fax: (630) 903-2830

The provider's authorized official is Wayne Sobczak .
The authorized official title is Rescue Chief and has the following contact phone number (847) 395-1010.

The enumeration date for this NPI number is 4/28/2006 and was last updated on 9/19/2012.


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
13416L0300XAmbulanceLand Transport87264ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1049-21246OTHERILLINOISBCBS OF IL
2590012429OTHERILLINOISRAILROAD MEDICARE
3270880MEDICARE PINILLINOIS
4=========001OTHERILLINOISPUBLIC AID

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: 5/5/2024
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