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General NPI Number Information
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NPI Number | 1609818806
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Entity Type | Organization
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Legal Business Name | PRO MED
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 509 S VERMONT ST
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City | PALATINE
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State | IL
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Zip | 60067-6947
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Country | US
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Telephone | 847-963-8700
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Fax | 847-963-8703
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Provider Business Mailing Address
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Address Line | PO BOX 457
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City | WHEELING
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State | IL
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Zip | 60090-0457
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Country | US
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Telephone | 847-577-8811
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Fax | 847-577-7967
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURA LAZZERINI
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Credential |
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Telephone | 847-963-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 8958
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 8958
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License Number State | IL
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