Medistar Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MEDISTAR INC

Practice address

106 Rosehall Dr
Lake Zurich, IL 60047-6235

Phone

(815) 981-0824

NPI assigned

Mar 9, 2012

Last updated

Mar 9, 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

Mr. Victor Matios

Title

President

Phone

(815) 981-0824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1407121429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ROSEHALL DR",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600476235",
            "telephone_number": "815-981-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROSEHALL DR",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600476235",
            "telephone_number": "815-981-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISTAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "MATIOS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-981-0824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Matula
• Lauren McArdle, PH.D., ABSNP
• Michael John McGrady Sr., D.D.S.
• Kenneth J. McKenna
• John McNerney, D.D.S
• Liesl Pauline Melnick
• James Robert Menz, L.AC.
• Colleen Michels
• Rhonda Mikolajewski
• Waide Lee Miller, D.C.

• Non-emergency Medical Transport (VAN) in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.