# RESCUE MEDICAL TRANSPORT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336282896
- **Authorized official:** BILL ANDRES (PRESIDENT)
- **Authorized official phone:** (630) 894-8484

## Contact information

- **Practice address:** 810 MORSE AVE, SCHAUMBURG, IL 60193-4536
- **Practice address phone:** (630) 894-8484
- **Practice address fax:** (630) 894-8585
- **Mailing address:** PO BOX 457, WHEELING, IL 60090-0457
- **Mailing address phone:** (847) 577-8811
- **Mailing address fax:** (847) 577-3518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | IL | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 21621784 | BCBS | IL |