Organization
FIRST ENCORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIM FAROOQI (OPERATIONS DIRECTOR)
(708) 342-7076
Entity
Organization
Contact information
Practice address
8051 186TH ST, TINLEY PARK, IL 60487-9341
(708) 342-7076
Mailing address
8051 186TH ST, TINLEY PARK, IL 60487-9341
(708) 342-7076
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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