Organization
BRIGHT STAR AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM HEJJA (OWNER)
(815) 919-0040
Entity
Organization
Contact information
Practice address
1559 ROUTE 34, OSWEGO, IL 60543-8524
(331) 454-7726
(331) 454-7725
Mailing address
1559 ROUTE 34, OSWEGO, IL 60543-8524
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
8086
IL
Other
Enumeration date
02/29/2012
Last updated
03/02/2012
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