Organization
DIVERSFIED EMERGENCY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT J. BETZELOS (PRESIDENT)
(630) 734-0200
Entity
Organization
Contact information
Practice address
1431 N CLAREMONT AVE, CHICAGO, IL 60622-1702
(773) 278-2000
(630) 734-1560
Mailing address
PO BOX 5940, CAROL STREAM, IL 60197-5940
(630) 734-0200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
05/16/2006
Last updated
07/16/2007
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