Organization
1ST RESPONSE EMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FOURTE (PRESIDENT)
(773) 247-2955
Entity
Organization
Contact information
Practice address
2445 S ROCKWELL ST, CHICAGO, IL 60608-4708
(773) 247-2955
(773) 247-3475
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
7725
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635696
BCBS
IL
Enumeration date
07/26/2006
Last updated
04/20/2008
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