institution
City Of Country Club Hills
Land Ambulance in Country Club Hills, Illinois
NPI 1265485007

City Of Country Club Hills is a Land Ambulance based in Mokena, IL and is specialized in Land Transport. City Of Country Club Hills practices in Country Club Hills, IL. The NPI Number for City Of Country Club Hills is 1265485007 and holds a License No. 78166 (Illinois).

The current practice location address for City Of Country Club Hills is 4200 W. 183Rd St, Country Club Hills, IL and can be reached out via phone at 708-798-8488 and via fax at 708-798-8555.

Location: 4200 W. 183Rd St, Country Club Hills, IL, 60448-2052
institution
Provider Profile Details
NPI Number
1265485007
Provider Name
City Of Country Club Hills
Credential
Provider Entity Type
Organization
Address
4200 W. 183Rd St, Country Club Hills, IL, 60448-2052
Phone Number
708-798-8488
Fax Number
708-798-8555
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016-70820 01 IL BLUE CROSS BLUE SHIELD
P00151630 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4200 W. 183Rd St
City
State
Zip
60478-5311
Phone Number
708-798-8488
Fax Number
708-798-8555
person
Provider Business Mailing Address Details
Address
4200 W. 183Rd St
City
State
Zip
60478-5311
Phone Number
708-798-8488
Fax Number
708-798-8555
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
78166 (Illinois)
Definition
Definition to come...
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