NPI 1003376856

City of Loves Park

Organisation Ambulance Loves Park, IL

Practice location

Address: 400 Grand Ave, Loves Park, IL 61111-4513
Phone: (815) 654-5049

Authorised official

Name: Jerry Wiltfang
Title: Fire Chief
Phone: (815) 654-5049

Registered specialties

Ambulance Primary

Transportation Services Taxonomy 341600000X

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Registry record

NPI: 1003376856
Entity type: Organization
NPI issued: 20 Mar 2019
Record last updated: 20 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.