Organization
SUPERIOR AIR AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B. HILL III (PRESIDENT)
(630) 832-2012
Entity
Organization
Contact information
Practice address
395 W LAKE ST, ELMHURST, IL 60126-1508
(630) 832-2012
(888) 832-2012
Mailing address
395 W LAKE ST, ELMHURST, IL 60126-1508
(630) 832-2012
(888) 832-2012
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030530B
—
IN
01
—
200950850A
LCP
IN
Enumeration date
07/23/2007
Last updated
07/15/2014
Update your record
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