Organization · Type 2 NPI
South Wilmington Volunteer Fire
Land Ambulance · South Wilmington, IL
NPI number
1982826665
Active
Practice location
330 Lake St
South Wilmington, IL 60474
Fax (815) 237-8034
Mailing address
P.o. Box 285, 330 Lake Street
South Wilmington, IL 60474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | 782301 (IL) |
Land Ambulance: Definition to come...
About NPI 1982826665
South Wilmington Volunteer Fire's National Provider Identifier is 1982826665, issued on May 3, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in South Wilmington, IL. The record was last updated on Dec 28, 2012.