Organization
VITAL AMBULANCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACE VANDENBERG (PRESIDENT)
(708) 305-6317
Entity
Organization
Contact information
Practice address
18781 90TH AVE., SUITE A, MOKENA, IL 60448
(708) 305-6317
Mailing address
18781 90TH AVE., SUITE A, MOKENA, IL 60448
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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