| NPI | 1184067340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBY ROGERS Secretary 815-232-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 1051) |
| Additional Taxonomies | 341600000X Ambulance (Licence: IL 1051) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2015-09-10 |