Organization
1ST RESPONSE EMS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN FOURTE (OWNER)
(773) 392-2901
Entity
Organization
Contact information
Practice address
2021 S WABASH AVE, CHICAGO, IL 60616-1708
(773) 392-2901
(773) 439-2838
Mailing address
9624 S CICERO AVE, 222, OAK LAWN, IL 60453-3138
(773) 392-2901
(773) 439-2838
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
7 7250
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635696
BCBS PROVIDER NUMBER
IL
Enumeration date
11/20/2006
Last updated
05/01/2012
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