MEDICARE: JOSHUA ARMSTRONG PARAMEDIC, NRP

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
1	146L00000X	Paramedic	060566321	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2001695	OTHER	MI	MICHIGAN PARAMEDIC LICENSE
2	060566321	OTHER	IL	ILLINOIS PARAMEDIC LICENSE

General Provider Information

NPI Number	:	1053947218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA ARMSTRONG PARAMEDIC, NRP

Provider Business Mailing Address
First Line	:	3601 W LAKE ST
Second Line	:
City	:	MELROSE PARK
State	:	IL
Zip	:	60160-2705
Country	:	US
Telephone Number	:	312-857-4361
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 W LAKE ST
Second Line	:
City	:	MELROSE PARK
State	:	IL
Zip	:	60160-2705
Country	:	US
Telephone Number	:	312-857-4361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2020
Last Update Date	:	03/19/2020

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