Medic 1

Land Ambulance · Mokena, IL

Organization Active NPI

NPI number 1134469752

Practice location

9850 W 190TH St
Suite a
Mokena, IL 60448-5604
Phone
(708) 670-1221
Fax
(708) 478-1628

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NPI record

NPI
1134469752
Entity type
Organization (Type 2)
Enumeration date
February 19, 2013
Last updated
February 19, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Land Ambulance Primary 3416L0300X APPLIED FOR IL

Authorized official

Name
Mrs. Kimberly Dietze
Title
Director of Patient Accounts
Phone
(708) 670-1221

About Medic 1

Medic 1 is a healthcare organization registered in the NPI registry with the primary taxonomy Land Ambulance (code 3416L0300X). The practice location is 9850 W 190TH St, Suite a, Mokena, IL 60448-5604. The NPI number 1134469752 was assigned on February 19, 2013 and the record was last updated on February 19, 2013.

Medic 1 lists a license in the registry: #APPLIED FOR (IL) for Land Ambulance. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Kimberly Dietze, Director of Patient Accounts.

Frequently asked questions

What is the NPI number of Medic 1?

The NPI number is 1134469752.

What is the phone number of Medic 1?

The phone number listed for the practice location is (708) 670-1221.

Where is Medic 1 located?

9850 W 190TH St, Suite a, Mokena, IL 60448-5604.

What is the taxonomy code for Medic 1?

The primary taxonomy code is 3416L0300X – Land Ambulance.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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