Provider Demographics
NPI:1427197854
Name:FALL PREVENTION SERVICES, LLC
Entity Type:Organization
Organization Name:FALL PREVENTION SERVICES, LLC
Other - Org Name:FAL PREVENTION CLINICS OF AMERICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:BEARCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-305-0403
Mailing Address - Street 1:1220 HOBSON RD
Mailing Address - Street 2:SUITE 132
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-8139
Mailing Address - Country:US
Mailing Address - Phone:630-305-0403
Mailing Address - Fax:
Practice Address - Street 1:1220 HOBSON RD
Practice Address - Street 2:SUITE 132
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-8139
Practice Address - Country:US
Practice Address - Phone:630-305-0403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL211339Medicare ID - Type UnspecifiedPRACTICE LOCATION
IL213326Medicare ID - Type UnspecifiedPRACTICE LOCATION