Organization
VILLAGE OF WESTERN SPRG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA M RUCH (PARAMEDIC FIREFIGHTER)
(708) 246-1182
Entity
Organization
Contact information
Practice address
4353 WOLF RD, WESTERN SPRGS, IL 60558-1416
(708) 246-1182
(708) 246-4871
Mailing address
740 HILLGROVE AVE, WESTERN SPRGS, IL 60558-1409
(708) 246-1182
(708) 246-4871
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
08 8084
IL
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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