NPI 1316119936
Lynnville Scott White Rock Fpd
Practice location
- Address
- 106 Autumnwood Ln, Davis Junction, IL 61020-9407
- Phone
- (815) 645-2110
- Fax
- (815) 645-1324
- Mailing address
- PO Box 457, Wheeling, IL 60090-0457
Authorised official
- Name
- Todd Seaworth
- Title
- Chief
- Phone
- (815) 645-2110
Registered specialties
Emergency Response System Companies
Primary
Registry record
- NPI
- 1316119936
- Entity type
- Organization
- NPI issued
- 25 Mar 2008
- Record last updated
- 25 Mar 2008
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.