# SUPERIOR AIR AMBULANCE SERVICE, INC

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

## Provider details

- **NPI number:** 1720288186
- **Authorized official:** MR. DAVID B. HILL III (PRESIDENT)
- **Authorized official phone:** (630) 832-2012

## Contact information

- **Practice address:** 395 W LAKE ST, ELMHURST, IL 60126-1508
- **Practice address phone:** (630) 832-2012
- **Practice address fax:** (888) 832-2012
- **Mailing address:** 395 W LAKE ST, ELMHURST, IL 60126-1508
- **Mailing address phone:** (630) 832-2012
- **Mailing address fax:** (888) 832-2012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416A0800X | Air Ambulance | — | IL | Yes |

## Other

- **Enumeration date:** 07/23/2007
- **Last updated:** 07/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100030530B | — | IN |
| 01 | — | 200950850A | LCP | IN |