Organization
ALL STAR MEDIVAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA RENEE ST GEORGE (PRESIDENT)
(847) 401-9851
Entity
Organization
Contact information
Practice address
2734 BLANCHARD RD, WAUKEGAN, IL 60087-3541
(847) 672-9292
Mailing address
2734 BLANCHARD RD, WAUKEGAN, IL 60087-3541
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
05/12/2011
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