Illinois/indiana Em-I Medical Services, Sc

NPI #1619379534 in Waukegan, Illinois

Provider Information

NPI Number: 1619379534
Entity Type: Organization
Organization Name: Illinois/indiana Em-I Medical Services, Sc
Primary Specialty: Emergency Medicine
Enumeration Date: Sep 23, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 1324 N SHERIDAN RD
City: Waukegan
State: Illinois
ZIP Code: 60085-2161
Phone: (847) 360-4181

Authorized Official

Name: DOUGLAS WEBSTER, DO
Title: PRESIDENT
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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