Metro Paramedic Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

87918 Issued in IL

Legal business name

METRO PARAMEDIC SERVICE INC

Practice address

395 W Lake St
Elmhurst, IL 60126-1508

Phone

(630) 530-2988

Fax

(630) 903-2830

NPI assigned

Apr 24, 2006

Last updated

Jan 26, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Tillman III

Title

Vice President

Phone

(630) 903-2480

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

Enrollment records 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Superior Air-Ground Ambulance Service, Inc

  dba Superior Ambulance Service, Inc

  • Land Ambulance
  • Elmhurst, IL
  • NPI 1336107838

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1215993860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W LAKE ST",
            "address_2": "ATTN: KIMBERLY FULLER",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261508",
            "telephone_number": "630-903-2372",
            "fax_number": "630-903-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W LAKE ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261508",
            "telephone_number": "630-530-2988",
            "fax_number": "630-903-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PARAMEDIC SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "630-903-2480",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "87918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "022-20451",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011946",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillian Mentzelopoulos
• Merit Center for Sleep Health of Elmhurst, LLC
• Patricia A Merwick, M.D.
• Alessandra Messina, M.ED
• Jaclyn Messina, MS, CCC/SLP
• Metropolitan Rehabilitation Services,Inc
• Donald Albert Meyer, R.PH.
• Kathleen Mary Meyers, LCSW
• Michelle Meziere, MD
• Michael Cosmos D.M.D. P.C.

• Land Ambulance in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.