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Organization

MIDWAY EMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL KENNETH FAZIO (OWNER/MANAGER)
(815) 990-9589
Entity
Organization

Contact information

Practice address
5155 TORQUE RD # B, LOVES PARK, IL 61111-7144
(815) 708-7232
Mailing address
5155 TORQUE RD # B, LOVES PARK, IL 61111-7144
(815) 708-7232

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary

Other

Enumeration date
11/14/2018
Last updated
11/14/2018
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