Organization
METRO PARAMEDIC SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TILLMAN III (VICE PRESIDENT)
(630) 903-2480
Entity
Organization
Contact information
Practice address
395 W LAKE ST, ELMHURST, IL 60126-1508
(630) 530-2988
(630) 903-2830
Mailing address
395 W LAKE ST, ATTN: KIMBERLY FULLER, ELMHURST, IL 60126-1508
(630) 903-2372
(630) 903-2830
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
87918
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022-20451
BLUE CROSS BLUE SHIELD
IL
01
—
590011946
RAILROAD MEDICARE
IL
Enumeration date
04/24/2006
Last updated
01/26/2012
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