| NPI | 1881679678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN GUERRERO Administrator 708-422-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2015-10-16 |