Individual
JON RICHMOND GIESEKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 N 2ND ST, ALTAMONT, IL 62411-1402
(618) 483-6821
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-3518
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
510601
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371199058002
—
IL
Enumeration date
02/21/2008
Last updated
09/14/2010
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