Midwest Ambulance, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

10 7268 Issued in IL

Legal business name

MIDWEST AMBULANCE, LLC

Practice address

8111 Saint Louis Ave
Skokie, IL 60076-2968

Phone

(847) 745-0050

Fax

(847) 745-0051

NPI assigned

Jan 5, 2010

Organization subpart

No

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

Authorized official

Name

Joseph Berger

Title

Coo

Phone

(847) 745-0050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1710217377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 SAINT LOUIS AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762968",
            "telephone_number": "847-745-0050",
            "fax_number": "847-745-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 SAINT LOUIS AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762968",
            "telephone_number": "847-745-0050",
            "fax_number": "847-745-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "847-745-0050"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "10 7268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Richard Randy Mikos, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.