# JON RICHMOND GIESEKING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gieseking Funeral Home & Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164621694
- **Authorized official:** JON RICHMOND GIESEKING (OWNER)
- **Authorized official phone:** (618) 483-6821

## Contact information

- **Practice address:** 208 N 2ND ST, ALTAMONT, IL 62411-1402
- **Practice address phone:** (618) 483-6821
- **Mailing address:** PO BOX 457, WHEELING, IL 60090-0457
- **Mailing address phone:** (847) 577-8811
- **Mailing address fax:** (847) 577-3518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 5106 | IL | Yes |

## Other

- **Enumeration date:** 07/14/2007
- **Last updated:** 06/16/2010