Organization · Type 2 NPI
Evergreen Emergency Services, Ltd
Emergency Medical Services (Emergency Medicine) Physician · Evergreen Park, IL
Practice location
2800 W 95th St
Evergreen Park, IL 60805-2701
Fax (708) 422-4415
Mailing address
PO Box 42898
Evergreen Park, IL 60805-0898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | None listed |
Emergency Medical Services (Emergency Medicine) Physician: 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.
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About NPI 1881679678
Evergreen Emergency Services, Ltd's National Provider Identifier is 1881679678, issued on Dec 14, 2005. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Evergreen Park, IL. The record was last updated on Oct 16, 2015.