Organization
PRO MED
Active
Other names
Professional Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LAZZERINI (PRESIDENT)
(847) 963-8700
Entity
Organization
Contact information
Practice address
509 S VERMONT ST, PALATINE, IL 60067-6947
(847) 963-8700
(847) 963-8703
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
8958
IL
343900000X
Non-emergency Medical Transport (VAN)
Primary
8958
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21623053
BCBS
IL
Enumeration date
06/12/2006
Last updated
09/11/2025
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