Organization
SOUTH WILMINGTON VOLUNTEER FIRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA J KOVALCIK (EMS COORDINATOR)
(815) 483-9972
Entity
Organization
Contact information
Practice address
330 LAKE ST, SO WILMINGTON, IL 60474
(815) 237-2244
(815) 237-8034
Mailing address
P.O. BOX 285, 330 LAKE STREET, SO WILMINGTON, IL 60474
(815) 237-2244
(815) 237-8034
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
782301
IL
Other
Enumeration date
05/03/2007
Last updated
12/28/2012
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