Organization
MID ILLINI NON EMERGENCY PATIENT TRANSPORT LLC
Active
Other names
ILLINI NON EMERGENCY PATIENT TRANSP
Organization subpart
No
Provider details
NPI number
Authorized official
JERAMY DOERR (OWNER)
(309) 840-4503
Entity
Organization
Contact information
Practice address
3700 N MAIN ST, EAST PEORIA, IL 61611-1447
(309) 840-4503
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
04/09/2024
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