Empi Care Center

Primary specialty

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

License

A2741KD1 Issued in IL

Legal business name

EMPI CARE CENTER

Practice address

616 W 123Rd St
Chicago, IL 60628-6408

Phone

(773) 468-0765

Fax

(773) 468-0765

NPI assigned

Jul 8, 2014

Organization subpart

No

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

Authorized official

Name

Abraham Alli-Brown

Title

Ceo

Phone

(773) 895-8970

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1790191906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 W 123RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606286408",
            "telephone_number": "773-468-0765",
            "fax_number": "773-468-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W 123RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606286408",
            "telephone_number": "773-468-0765",
            "fax_number": "773-468-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPI CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "ALLI-BROWN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-895-8970"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "A2741KD1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A2741KD1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Chicago, IL
• Providers in Chicago, 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 Jul 8, 2014; 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.