Provider Demographics
NPI:1053947218
Name:ARMSTRONG, JOSHUA (PARAMEDIC, NRP)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:PARAMEDIC, NRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 W LAKE ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-2705
Mailing Address - Country:US
Mailing Address - Phone:312-857-4361
Mailing Address - Fax:
Practice Address - Street 1:3601 W LAKE ST
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-2705
Practice Address - Country:US
Practice Address - Phone:312-857-4361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL060566321146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2001695OtherMICHIGAN PARAMEDIC LICENSE
IL060566321OtherILLINOIS PARAMEDIC LICENSE