Basic Information
| Provider Information | |||||||||
| NPI: | 1295363661 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STERLING HEALTHCARE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8833 GROSS POINT RD STE 206 | ||||||||
| Address2: | |||||||||
| City: | SKOKIE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600771859 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8476796200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 353 TYLER ST | ||||||||
| Address2: | |||||||||
| City: | GARY | ||||||||
| State: | IN | ||||||||
| PostalCode: | 464021149 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2198867070 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2020 | ||||||||
| LastUpdateDate: | 03/31/2020 | ||||||||
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| AuthorizedOfficialLastName: | GRAHAM | ||||||||
| AuthorizedOfficialFirstName: | ABBIE | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | ACCOUNTING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8479277076 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 03/31/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 343900000X | Y | Transportation Services | Non-emergency Medical Transport (VAN) |
No ID Information.