Organization
PILOT FIRE PROTECTION DISTRICT AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS SCHWARK (FINANCE TREASURER)
(815) 426-6241
Entity
Organization
Contact information
Practice address
100 NORTH MAIN STREET, HERSCHER, IL 60941
(815) 426-2143
(815) 426-2168
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7252
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4670571
BCBS
IL
01
—
P00056044
RR MEDICARE
IL
Enumeration date
06/23/2006
Last updated
05/19/2008
Update your record
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