ST ANTHONY EMERGENCY SERVICES PHYSICIAN GROUP NPI 1760587703

NPI Information

ST ANTHONY EMERGENCY SERVICES PHYSICIAN GROUP is an emergency medical services emergency medicine in Chicago, IL. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. ST ANTHONY EMERGENCY SERVICES PHYSICIAN GROUP NPI is 1760587703. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Anthony Emergency Services Physician Group.

The provider's business location address is:

2875 W 19TH ST
CHICAGO, IL
ZIP 60623-501
Phone: (773) 484-1000

The provider's authorized official is Guy A Medaglia .
The authorized official title is President/ceo, Authorized Official and has the following contact phone number (773) 484-1000.

The CLIA number assigned to this NPI record is 14D0662517 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 4/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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