Organization
EMPI CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM ALLI-BROWN (CEO)
(773) 895-8970
Entity
Organization
Contact information
Practice address
616 W 123RD ST, CHICAGO, IL 60628-6408
(773) 468-0765
(773) 468-0765
Mailing address
616 W 123RD ST, CHICAGO, IL 60628-6408
(773) 468-0765
(773) 468-0765
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A2741KD1
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A2741KD1
—
IL
Enumeration date
07/08/2014
Last updated
07/08/2014
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