| NPI | 1679715411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY STEPANSKY Assistant Chief 815-569-2818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 011025) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2010-11-10 |