Organization
AV MEDI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX GARCIA VERGARA (PRESIDENT)
(630) 977-9715
Entity
Organization
Contact information
Practice address
801 EAST MAIN ST.,, SUITE D, ST. CHARLES, IL 60174
(630) 977-9715
Mailing address
801 E MAIN ST, SUITE D, ST CHARLES, IL 60174-2294
(630) 977-9715
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
NONE REQUIRED
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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