NPI 1649629288

Emergency Medical Medicine

Organisation Intermediate Emergency Medical Technician Evanston, IL

Practice location

Address: 2530 Crawford Ave STE 307, Evanston, IL 60201-4972
Phone: (773) 995-3000
Mailing address: 7411 S Ingleside Ave, Chicago, IL 60619-2033

Authorised official

Name: Tunji Ladipo
Title: Director
Phone: (773) 995-3000

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 209012220 (IL)

Other Emergency Medical Technician, Intermediate providers in Illinois →

Registry record

NPI: 1649629288
Entity type: Organization
NPI issued: 5 Jun 2016
Record last updated: 5 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.