# SOUTH WILMINGTON VOLUNTEER FIRE

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

## Provider details

- **NPI number:** 1982826665
- **Authorized official:** MS. CHRISTINA J KOVALCIK (EMS COORDINATOR)
- **Authorized official phone:** (815) 483-9972

## Contact information

- **Practice address:** 330 LAKE ST, SO WILMINGTON, IL 60474
- **Practice address phone:** (815) 237-2244
- **Practice address fax:** (815) 237-8034
- **Mailing address:** P.O. BOX 285, 330 LAKE STREET, SO WILMINGTON, IL 60474
- **Mailing address phone:** (815) 237-2244
- **Mailing address fax:** (815) 237-8034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 782301 | IL | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 12/28/2012