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Organization

ADVANCE EMS OF DIXON, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEVIN S. ROGERS (CEO)
(815) 288-6717
Entity
Organization

Contact information

Practice address
700 COUNTRYSIDE LN, DIXON, IL 61021-3914
(815) 288-6717
(815) 288-2379
Mailing address
700 COUNTRYSIDE LN, DIXON, IL 61021-3914
(815) 288-4136
(815) 288-2379

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1410
IL

Other

Enumeration date
12/12/2006
Last updated
10/31/2023
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