Organization
VILLAGE OF DWIGHT
Active
Other names
Dwight Emergency Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN METZKE (EMS DIRECTOR)
(815) 584-2050
Entity
Organization
Contact information
Practice address
209 S PRAIRIE AVE, DWIGHT, IL 60420-1323
(815) 584-2050
(815) 584-2848
Mailing address
209 S PRAIRIE AVE, DWIGHT, IL 60420-1323
(815) 584-2050
(815) 584-2848
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6723
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
539003
BCBS
IL
Enumeration date
02/07/2007
Last updated
04/20/2008
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