| NPI | 1841351368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE KOEHLER Secretary 309-394-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport (Licence: IL 22605) |
| Additional Taxonomies | 3416L0300X Ambulance, Land Transport (Licence: IL 2260502) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |