Organization
SUBURBAN MEDI-VAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN PAUL FLUDER (PRESIDENT)
(630) 742-1533
Entity
Organization
Contact information
Practice address
1361 OVERTON DR, LEMONT, IL 60439-8546
(630) 742-1533
Mailing address
1361 OVERTON DR, LEMONT, IL 60439-8546
(630) 742-1533
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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