# EDWARD AMBULANCE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457635674
- **Authorized official:** MR. JAMEY BAKER (CEO)
- **Authorized official phone:** (248) 304-6023

## Contact information

- **Practice address:** 1701 QUINCY AVE, STE 13, NAPERVILLE, IL 60540-3955
- **Practice address phone:** (630) 548-1572
- **Mailing address:** 1701 QUINCY AVE, STE 13, NAPERVILLE, IL 60540-3955
- **Mailing address phone:** (630) 548-1572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 088967 | IL | — |
| 3416L0300X | Land Ambulance | 088967 | IL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | 088967 | IL | — |

## Other

- **Enumeration date:** 10/06/2011
- **Last updated:** 10/06/2011