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Organization
VILLAGE OF DWIGHT
Active
Organization
VILLAGE OF DWIGHT
Active
Other names
Dwight Emergency Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN METZKE (EMS DIRECTOR)
(815) 584-2050
Entity
Organization
Contact information
Practice address
209 S PRAIRIE AVE, DWIGHT, IL 60420-1323
(815) 584-2050
(815) 584-2848
Mailing address
209 S PRAIRIE AVE, DWIGHT, IL 60420-1323
(815) 584-2050
(815) 584-2848
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6723
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
539003
BCBS
IL
Enumeration date
02/07/2007
Last updated
04/20/2008
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