| NPI | 1760489199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN LUVERNE SEDERSTROM Deputy Fire Chief 309-524-2257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: IL 02253702) |
| Additional Taxonomies | 341600000X Ambulance (Licence: IL 22537) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2012-03-21 |