| NPI | 1447621875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM DIETZ Director Of Patient Accounts 708-995-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 8061) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: IL 8061) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |