MEDICARE: EFFECTIVE BILLING SOLUTIONS, 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	302F00000X	Exclusive Provider Organization

General Provider Information

NPI Number	:	1477728210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EFFECTIVE BILLING SOLUTIONS, INC

Provider Business Mailing Address
First Line	:	10814 W YORKHOUSE RD
Second Line	:
City	:	BEACH PARK
State	:	IL
Zip	:	60087-2305
Country	:	US
Telephone Number	:	224-944-0350
Fax Number	:	229-944-0350

Provider Business Practice Location Address
First Line	:	10814 W YORKHOUSE RD
Second Line	:
City	:	BEACH PARK
State	:	IL
Zip	:	60087-2305
Country	:	US
Telephone Number	:	224-944-0350
Fax Number	:	229-944-0350

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MARY ANNE HAMMONDS
Credential	:
Telephone Number	:	224-944-0350

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	04/23/2008

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