PRAIRIE EMERGENCY GROUP, LTD.; NPI #1538184114

Contact Information

PRAIRIE EMERGENCY GROUP, LTD.

VIRGINIA & FRANKLIN STREETS
NORMAL, IL 61761

Phone: 309-827-4321
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Emergency Medical Services	207PE0004X	93	Physician/Emergency Medicine

Indicates primary specialty

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NPI Profile & details for PRAIRIE EMERGENCY GROUP, LTD.

NPI Number 1538184114

LBN Legal business name PRAIRIE EMERGENCY GROUP, LTD.

Authorized official MICHAEL STRAZA - (OPERATIONS MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/13/2006

Last updated 10/22/2007 - About 19 years ago

Identifiers

Other

05721369

BC/BS OF ILLINOIS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PRAIRIE EMERGENCY GROUP, LTD.

Contact Information

Specialty

Emergency Medical Services

NPI Profile & details for PRAIRIE EMERGENCY GROUP, LTD.

Reviews for PRAIRIE EMERGENCY GROUP, LTD.