MEDICARE: FIRST CHOICE MEDICAR INC.

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	343900000X	Non-emergency Medical Transport (VAN)	G16078162903	IL

General Provider Information

NPI Number	:	1124427299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CHOICE MEDICAR INC.

Provider Business Mailing Address
First Line	:	1713 CUMBERLAND RD
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-6027
Country	:	US
Telephone Number	:	630-781-6595
Fax Number	:	630-299-3770

Provider Business Practice Location Address
First Line	:	1713 CUMBERLAND RD
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-6027
Country	:	US
Telephone Number	:	630-781-6595
Fax Number	:	630-299-3770

Authorized Official
Title or Position	:	OWNER
Name	:	SOUAD GABR
Credential	:
Telephone Number	:	630-781-6595

Provider Enumeration Date	:	08/14/2014
Last Update Date	:	08/14/2014

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