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Organization

AIR ANGELS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL DERMONT (CEO)
(630) 876-7215
Entity
Organization

Contact information

Practice address
320 KRESS RD, WEST CHICAGO, IL 60185-1810
(630) 876-7215
(630) 876-7249
Mailing address
320 KRESS RD, WEST CHICAGO, IL 60185-1810
(630) 876-7215
(630) 876-7249

Taxonomy

Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
0734
IN
3416A0800X
Air Ambulance
Primary
8 796408
IL
3416L0300X
Land Ambulance
9 7964
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BLUE CROSS/BLUE SHIE
2223078
IL
Enumeration date
08/12/2005
Last updated
04/20/2008
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