Provider Demographics
NPI:1336637248
Name:PARAMEDIC SERVICES OF ILLINOIS, INC.
Entity Type:Organization
Organization Name:PARAMEDIC SERVICES OF ILLINOIS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HORAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-678-4900
Mailing Address - Street 1:9815 LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:SCHILLER PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60176-1125
Mailing Address - Country:US
Mailing Address - Phone:847-678-0865
Mailing Address - Fax:847-678-1093
Practice Address - Street 1:1222 W. VETERANS PARKWAY
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-4728
Practice Address - Country:US
Practice Address - Phone:847-678-0865
Practice Address - Fax:847-678-1093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance