| NPI | 1447344866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY J. BERRY Trustee/Treasurer 815-274-3653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 77115) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-07-21 |