Organization
ERICKSON AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI VOGRIG (DIRECTOR OF PATIENT ACCOUNTS)
(708) 995-1192
Entity
Organization
Contact information
Practice address
9850 W 190TH ST, SUITE B-10, MOKENA, IL 60448-5604
(708) 995-1192
Mailing address
9850 W 190TH ST STE B-10, MOKENA, IL 60448-5604
(708) 995-1192
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6000405
WI
343800000X
Secured Medical Transport (VAN)
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41320700
—
WI
Enumeration date
10/05/2015
Last updated
10/05/2015
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