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Organization

CITY OF LOVES PARK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY WILTFANG (FIRE CHIEF)
(815) 654-5049
Entity
Organization

Contact information

Practice address
400 GRAND AVE, LOVES PARK, IL 61111-4513
(815) 654-5049
Mailing address
400 GRAND AVE, LOVES PARK, IL 61111-4513
(815) 654-5049

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary

Other

Enumeration date
03/20/2019
Last updated
03/20/2019
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