NPI 1104523638
Freedom-Elite Joint Venture
Practice location
- Address
- 612 S Edgewater Ln, Shorewood, IL 60404-9540
- Phone
- (815) 274-1279
Authorised official
- Name
- Joseph Spiker
- Title
- Managing Member
- Phone
- (815) 274-1279
Registered specialties (2)
Ambulance
Primary
Land Ambulance
Registry record
- NPI
- 1104523638
- Entity type
- Organization
- NPI issued
- 15 Feb 2023
- Record last updated
- 15 Aug 2023
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.