Organization
LYNNVILLE SCOTT WHITE ROCK FPD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD SEAWORTH (CHIEF)
(815) 645-2110
Entity
Organization
Contact information
Practice address
106 AUTUMNWOOD LN, DAVIS JUNCTION, IL 61020-9407
(815) 645-2110
(815) 645-1324
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-3518
Taxonomy
Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
Primary
—
—
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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