| NPI | 1043366370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNNA J CORZINE Secretary Treasurer 217-226-4386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: IL 361101) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2013-01-31 |