Organization
ELGIN MEDI-TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN BARRAZA (VICE PRESIDENT)
(847) 697-0202
Entity
Organization
Contact information
Practice address
672 WING ST, ELGIN, IL 60123-2870
(847) 697-0202
(847) 697-4736
Mailing address
PO BOX 323, ELGIN, IL 60121-0323
(847) 697-0202
(847) 697-4736
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
9 7029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
791590124
RAILROAD MEDICARE
IL
Enumeration date
05/25/2006
Last updated
10/07/2022
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