Organization
ASQ MEDICAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER SEPULVEDA QUIACHON (OWNER)
(630) 681-8221
Entity
Organization
Contact information
Practice address
908 SAGINAW CT, CAROL STREAM, IL 60188-1339
(630) 681-8221
Mailing address
908 SAGINAW CT, CAROL STREAM, IL 60188-1339
(630) 681-8221
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
60048
IL
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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