BERWYN EMERGENCY SERVICES SC NPI 1184701328

NPI Information

  • NPI: 1184701328
  • Provider Name: BERWYN EMERGENCY SERVICES SC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: HEALTHSTOP
  • CLIA Number: 14D2008106
  • Address: 3635 HARLEM AVE
    BERWYN, IL
    ZIP 60402
  • Phone: (708) 447-9402

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NPI Details

BERWYN EMERGENCY SERVICES SC is a specialist in Berwyn, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BERWYN EMERGENCY SERVICES SC NPI is 1184701328. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Healthstop.

The provider's business location address is:

3635 HARLEM AVE
BERWYN, IL
ZIP 60402-212
Phone: (708) 447-9402
Fax: (708) 447-3246

The provider's authorized official is Manohar L Jethani .
The authorized official title is Owner and has the following contact phone number (708) 447-9402.

The CLIA number assigned to this NPI record is 14D2008106 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 9/30/2008.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist036046173ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
153860MEDICARE PINILLINOIS
201616688OTHERILLINOISBC/BS PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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