Provider Demographics
NPI:1669128948
Name:EVEREADY MULTIPLE SERVICE INC
Entity type:Organization
Organization Name:EVEREADY MULTIPLE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:REUBEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-699-5078
Mailing Address - Street 1:4108 APPLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-1903
Mailing Address - Country:US
Mailing Address - Phone:708-699-5078
Mailing Address - Fax:
Practice Address - Street 1:4108 APPLEWOOD LN
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1903
Practice Address - Country:US
Practice Address - Phone:708-699-5078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty