Organization
TONICA VOLUNTEER FIRE DEPT
Active
Other names
Tonica Volunteer Fire Dept And Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
SUE HUSS (AMBULANCE DIRECTOR)
(815) 442-3527
Entity
Organization
Contact information
Practice address
507 N FIRST STREET, TONICA, IL 61370-9456
(815) 442-3527
(815) 442-3527
Mailing address
507 N FIRST STREET, TONICA, IL 61370-9456
(815) 442-3527
(815) 442-3527
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
22550
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05032035
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/02/2007
Last updated
08/22/2020
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