institution
City Of Crystal Lake
Land Ambulance in Crystal Lake, Illinois
NPI 1366469215

City Of Crystal Lake is a Land Ambulance based in Garland, IL and is specialized in Land Transport. City Of Crystal Lake practices in Crystal Lake, IL. The NPI Number for City Of Crystal Lake is 1366469215 and holds a License No. 7140 (Illinois).

The current practice location address for City Of Crystal Lake is 100 W Woodstock St, Crystal Lake, IL and can be reached out via phone at 815-459-2020 and via fax at 815-477-2568.

Location: 100 W Woodstock St, Crystal Lake, IL, 75049-5548
institution
Provider Profile Details
NPI Number
1366469215
Provider Name
City Of Crystal Lake
Credential
Provider Entity Type
Organization
Address
100 W Woodstock St, Crystal Lake, IL, 75049-5548
Phone Number
815-459-2020
Fax Number
815-477-2568
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0004531041 01 IL AETNA
5670002 01 IL BCBS
590028206 01 IL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
100 W Woodstock St
City
State
Zip
60014-4262
Phone Number
815-459-2020
Fax Number
815-477-2568
person
Provider Business Mailing Address Details
Address
100 W Woodstock St
City
State
Zip
60014-4262
Phone Number
815-459-2020
Fax Number
815-477-2568
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
7140 (Illinois)
Definition
Definition to come...
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