Healthcare Provider Details

I. General information

NPI: 1285655209
Provider Name (Legal Business Name): NORTH VALLEY EMERGENCY SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 04/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 W THUNDERBIRD RD
GLENDALE AZ
85306-4622
US

IV. Provider business mailing address

2000 SPRING RD SUITE 200
OAK BROOK IL
60523-1804
US

V. Phone/Fax

Practice location:
  • Phone: 602-588-5555
  • Fax:
Mailing address:
  • Phone: 630-472-8800
  • Fax: 630-472-9502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK CONTURSI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 480-513-6354