| NPI | 1366469215 |
|---|---|
| Former Legal Business Name | CRYSTAL LAKE EMERGENCY |
| Entity Type | Organization |
| Authorized Contact | JAMES MOORE Fire Chief 815-459-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 7140) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-08-01 |