| NPI | 1700451713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CALVERT Agency Administrator 815-201-5700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |