Antioch Rescue Squad

LBN: Antioch Rescue Squad
Antioch Rescue Squad is an health care organization with primary practice located at 835 Holbeck Dr , Antioch IL 60002-1270. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Antioch Rescue Squad can be contacted via phone (847) 395-0302, or through Sobczak, Wayne via phone (847) 395-1010.

Contact Information

Primary practice address
835 Holbeck Dr Antioch IL 60002-1270
Phone: (847) 395-0302
Fax: (630) 903-2830
Website:
Map and Directions
Authorized official contact:
Name: Sobczak, Wayne
Phone: (847) 395-1010

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 87264 Illinois

Profile Details

NPI number 1770540049
LBN Legal business name Antioch Rescue Squad
DBA Doing business as
Authorized official Sobczak, Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2006
Last updated Sep 19th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770540049 NPPES
Illinois Other 049-21246 BCBS OF IL
Illinois Other 590012429 BCBS OF IL

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