Organization · Type 2 NPI

Gerald M Duffy Trust Uw

Land Ambulance · Pontiac, IL

NPI number 1932220829 Active

Practice location

122 E Howard St
Pontiac, IL 61764-1918

Fax (815) 842-1061

Mailing address

202 E Howard St
Pontiac, IL 61764-1920

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300X26718 (IL)

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About NPI 1932220829

Gerald M Duffy Trust Uw's National Provider Identifier is 1932220829, issued on Apr 2, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Pontiac, IL. The record was last updated on Apr 20, 2008.