| NPI | 1366570061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON BUTLER District Fiscal Officer 217-483-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: IL 363801) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |