Organization
ILLINOIS/INDIANA EM-I MEDICAL SERVICES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS P. WEBSTER D.O. (PRESIDENT/OWNER)
(800) 732-1066
Entity
Organization
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-7500
(773) 947-7760
Mailing address
PO BOX 41494, PHILADELPHIA, PA 19101-1494
(800) 732-1066
(630) 941-4333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK3056
RAILROAD MEDICARE
IL
Enumeration date
06/15/2006
Last updated
02/01/2008
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