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NPI Code Detail

MEDICARE: STERDYS INC

MEDICARE: STERDYS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1347C00000XPrivate VehicleG342518IL
2343900000XNon-emergency Medical Transport (VAN)297S956IL

General Provider Information

NPI Number : 1730544354
Entity Type Code : Organization
Provider Name (Legal Business Name) : STERDYS INC
Provider Business Mailing Address
First Line : 9204 S COMMERCIAL AVE
Second Line : 307
City : CHICAGO
State : IL
Zip : 60617-2197
Country : US
Telephone Number : 872-666-5030
Fax Number : 708-679-9009
Provider Business Practice Location Address
First Line : 9204 S COMMERCIAL AVE
Second Line : 307
City : CHICAGO
State : IL
Zip : 60617-2197
Country : US
Telephone Number : 872-666-5030
Fax Number : 708-679-9009
Authorized Official
Title or Position : PRESIDENT
Name : BARBETTE SCOTT
Credential :
Telephone Number : 847-436-8394
Provider Enumeration Date : 12/25/2015
Last Update Date : 12/25/2015

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Directions to “STERDYS INC ” Practice Location

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