All Star Medivan Inc
Organization Active NPI Non-emergency Medical Transport (VAN) · Waukegan, IL
NPI 1912122425 · NPPES record last updated May 12, 2011
Key facts
- NPI
- 1912122425
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- ALL STAR MEDIVAN INC
- Practice address
- 2734 Blanchard Rd
Waukegan, IL 60087-3541 - Phone
- (847) 672-9292
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Elisa Renee St George
- Title
- President
- Phone
- (847) 401-9851
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
2734 Blanchard Rd
Waukegan, IL 60087-3541
Mailing address
2734 Blanchard Rd
Waukegan, IL 60087-3541
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.