MIDWEST MEDICAL SERVICES INC NPI 1528014933

NPI Information

NPI: 1528014933
Provider Name: MIDWEST MEDICAL SERVICES INC

Doing Business As: ADVANCE AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
5567 N ELSTON AVE
CHICAGO, IL
ZIP 60630
Phone: (773) 774-8999
Get Directions

MIDWEST MEDICAL SERVICES INC is a land transport ambulance in Chicago, IL. MIDWEST MEDICAL SERVICES INC NPI is 1528014933. The provider is registered as an organization entity type.
The provider Is Doing Business As Advance Ambulance.

The provider's business location address is:

5567 N ELSTON AVE
CHICAGO, IL
ZIP 60630-314
Phone: (773) 774-8999
Fax: (630) 510-4501

The provider's authorized official is Brian Witek .
The authorized official title is President and has the following contact phone number (773) 774-8875.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 10/2/2013.

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
1	3416L0300X	Ambulance	Land Transport	10 8963	ILLINOIS	Yes

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
1	01629912	OTHER	ILLINOIS	BCBS
2	625860	MEDICARE PIN	ILLINOIS
3	590014475	MEDICARE PIN	ILLINOIS
4	590014475	OTHER	ILLINOIS	RR MEDICARE
5	=========001	MEDICAID	ILLINOIS
6	132743900	OTHER	ILLINOIS	DEPT OF LABOR OWCP

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: 4/28/2024

NPI Synchronization or Removal

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