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General NPI Number Information
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NPI Number | 1891030524
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Entity Type | Organization
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Legal Business Name | PARAMEDIC SERVICES OF ILLINOIS INC,
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 1410 E JEFFERSON ST
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City | CLINTON
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State | IL
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Zip | 61727-1846
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Country | US
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Telephone | 217-570-0176
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Fax | 217-570-0177
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Provider Business Mailing Address
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Address Line | 9815 LAWRENCE AVE
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City | SCHILLER PARK
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State | IL
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Zip | 60176-1125
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Country | US
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Telephone | 847-678-4900
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Fax | 847-678-2854
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARY FIELD
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Credential |
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Telephone | 847-678-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 088944
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License Number State | IL
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