Organization
MEDISTAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR MATIOS (PRESIDENT)
(815) 981-0824
Entity
Organization
Contact information
Practice address
106 ROSEHALL DR, LAKE ZURICH, IL 60047-6235
(815) 981-0824
Mailing address
106 ROSEHALL DR, LAKE ZURICH, IL 60047-6235
(815) 981-0824
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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