NPI 1730133166

Trace Ambulance INC

Organisation Land Ambulance Tinley Park, IL

Practice location

Address: 8400 183rd Pl, Tinley Park, IL 60477-9268
Phone: (708) 614-1343
Fax: (708) 633-1622
Mailing address: 8400 183rd Pl, Tinley Park, IL 60487-9205

Authorised official

Name: Christopher J Vandenberg
Title: President
Phone: (708) 614-1343

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 7949 (IL)

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Registry record

NPI: 1730133166
Entity type: Organization
NPI issued: 20 May 2006
Record last updated: 23 Jan 2013

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.