Provider Demographics
NPI:1235159542
Name:FIRSTCARE HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:FIRSTCARE HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-851-3181
Mailing Address - Street 1:1941 SELMARTEN RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-1337
Mailing Address - Country:US
Mailing Address - Phone:630-851-3181
Mailing Address - Fax:630-851-1430
Practice Address - Street 1:1941 SELMARTEN RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-1337
Practice Address - Country:US
Practice Address - Phone:630-851-3181
Practice Address - Fax:630-851-1430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL9 79503416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport