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Organization
TONICA VOLUNTEER FIRE DEPT
Active
Organization
TONICA VOLUNTEER FIRE DEPT
Active
Other names
Tonica Volunteer Fire Dept And Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
SUE HUSS (AMBULANCE DIRECTOR)
(815) 442-3527
Entity
Organization
Contact information
Practice address
507 N FIRST STREET, TONICA, IL 61370-9456
(815) 442-3527
(815) 442-3527
Mailing address
507 N FIRST STREET, TONICA, IL 61370-9456
(815) 442-3527
(815) 442-3527
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
22550
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05032035
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/02/2007
Last updated
08/22/2020
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