Organization
LADYBERN MEDICAR COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BERNICE HOLCOMB (CHIEF EXECUTIVE OFFICER)
(773) 239-0816
Entity
Organization
Contact information
Practice address
9622A S HALSTED ST, CHICAGO, IL 60628-1005
(773) 239-0816
Mailing address
9622A S HALSTED ST, CHICAGO, IL 60628-1005
(773) 239-0816
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
H425-0604-6940
IL
Other
Enumeration date
04/14/2008
Last updated
04/20/2008
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