Samuel Dorevitch
Emergency Medical Services
75 Remittance Dr Suite 1951
Chicago
, Illinois 60675-1001
Samuel Dorevitch
Emergency Medical Services
75 Remittance Dr Suite 1951
Chicago
, Illinois 60675-1001
(312) 996-0064
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Samuel Dorevitch
- 5336 N Lakewood Ave
- Chicago, IL
- Zip : 60640-2209
- Fax : (312) 996-0064
- Phone : (773) 334-9029
Second Address
- Samuel Dorevitch
- 75 Remittance Dr Suite 1951
- Chicago, IL
- Zip : 60675-1001
- Fax : (847) 535-5801
- Phone : (847) 535-5917
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 36083148 | IL |
National Provider Identifier
| NPI | 1013993914 |
|---|---|
| Provider Name | Samuel Dorevitch |
| First Address | Chicago, IL 60640-2209 |
| Second Address | Chicago, IL 60675-1001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/12/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 36083148 | (05) | IL |
| F28511 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.