Organization
WALNUT FIRE DEPARTMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN K DAVIS (RESCUE CAPTAIN)
(815) 379-9257
Entity
Organization
Contact information
Practice address
115 LIBERTY STREET, WALNUT, IL 61376
(815) 379-2341
(815) 379-9531
Mailing address
115 LIBERTY STREET P.O. BOX 277, WALNUT, IL 61376
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2895
IL
Other
Enumeration date
01/12/2007
Last updated
09/07/2007
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