Organization
PRINCETON EMERGENCY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE DAUCHERT (CEO/PRESIDENT)
(919) 768-4392
Entity
Organization
Contact information
Practice address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 875-2811
(904) 805-1302
Mailing address
PO BOX 758733, BALTIMORE, MD 21275-0001
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0623850
BLUE CROSS & BLUE SHIELD
IL
01
—
DC8696
RAIL ROAD MEDICARE
IL
Enumeration date
05/03/2006
Last updated
09/11/2025
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