Provider Demographics
NPI:1144513573
Name:FIRST CALL AMBULANCE SERVICES INC
Entity type:Organization
Organization Name:FIRST CALL AMBULANCE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKWUDIKI-OGBULI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-889-3611
Mailing Address - Street 1:188 WEDGEPORT CIR
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-3759
Mailing Address - Country:US
Mailing Address - Phone:773-889-3611
Mailing Address - Fax:
Practice Address - Street 1:1900 N AUSTIN AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60639-5010
Practice Address - Country:US
Practice Address - Phone:773-889-3611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1039923416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherEIN