| NPI | 1093211823 |
|---|---|
| Doing Business As | LAKESIDE EMS LLC |
| Entity Type | Organization |
| Authorized Contact | JERROD ESTES CEO/Paramedic 217-994-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: IL 060409935) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2021-08-09 |