| NPI | 1407030448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED GARDNER Board President 309-682-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 000002611) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2012-03-29 |