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General NPI Number Information
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NPI Number | 1841395092
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Entity Type | Organization
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Legal Business Name | VALLEY EMERGENCY CARE MANAGEMENT, INC.
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 300 RANDALL RD EMERGENCY DEPT
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City | GENEVA
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State | IL
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Zip | 60134-4200
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Country | US
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Telephone | 630-208-4009
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Fax | 630-208-0942
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Provider Business Mailing Address
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Address Line | PO BOX 9030
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City | WHEELING
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State | IL
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Zip | 60090-9030
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Country | US
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Telephone | 847-495-1624
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Fax | 847-537-4866
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Authorized Official
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Title or Position | PRESIDENT
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Name | PARKSON LIN
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Credential | MD
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Telephone | 630-667-9587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | IL
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