Village Of Merrionette Park

LBN: Village Of Merrionette Park
Village Of Merrionette Park is an health care organization with primary practice located at 11720 S Kedzie Ave , Merrionette Park IL 60803-4516. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Village Of Merrionette Park can be contacted via phone (773) 233-1170, or through Edling, Leonard via phone (773) 233-1170.

Contact Information

Primary practice address
11720 S Kedzie Ave Merrionette Park IL 60803-4516
Phone: (773) 233-1170
Fax: (773) 233-8146
Website:
Map and Directions
Authorized official contact:
Name: Edling, Leonard E.M.T.
Phone: (773) 233-1170

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 891001 Illinois

Profile Details

NPI number 1952466815
LBN Legal business name Village Of Merrionette Park
DBA Doing business as
Authorized official Edling, Leonard E.M.T.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Dec 10th, 2019 - about 5 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 1952466815 NPPES
Illinois Other 1636180 HMO ILLINOIS
Illinois Other 1636180 HMO ILLINOIS
Illinois Other 590009584 HMO ILLINOIS

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