| NPI | 1619139409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYCLAIR GUSTAFSON Trustee 309-936-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 02-2517) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2013-06-11 |