| NPI | 1386699759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK M RUSSO President 708-478-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport (Licence: IL 8061) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 8061) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2013-12-10 |