Organization
ILLINOIS MEDI-CAR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B. HILL III (PRESIDENT)
(630) 832-2012
Entity
Organization
Contact information
Practice address
395 W LAKE ST, ELMHURST, IL 60126
(630) 832-2012
(630) 832-2169
Mailing address
395 W LAKE ST, ELMHURST, IL 60126
(630) 832-2012
(630) 832-2169
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000273016
ANTHEM BCBS
—
01
—
022-70589
BLUECROSS BLUESHIELD
IL
05
—
100030530B
—
IN
01
—
200319500A
HOOSIER HEALTH
IN
01
—
200319500A
LCP TRANSPORTATION
—
05
—
362812586001
—
IL
01
—
703025410
AETNA
—
05
—
80446300
—
WI
Enumeration date
05/03/2006
Last updated
07/14/2014
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