Organization
PRIMECARE MEDICAR SERVIVES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH EJOH (PRESIDENT)
(773) 465-3534
Entity
Organization
Contact information
Practice address
6417 N RAVENSWOOD AVE STE 206, CHICAGO, IL 60626-3936
(773) 465-3534
(773) 465-8580
Mailing address
6417 N RAVENSWOOD AVE STE 206, CHICAGO, IL 60626-3936
(773) 465-3534
(773) 465-8580
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
IL
343900000X
Non-emergency Medical Transport (VAN)
—
IL
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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