institution
Gerald M Duffy Trust Uw
Land Ambulance in Pontiac, Illinois
NPI 1932220829

Gerald M Duffy Trust Uw is a Land Ambulance based in Pontiac, IL and is specialized in Land Transport. Gerald M Duffy Trust Uw practices in Pontiac, IL. The NPI Number for Gerald M Duffy Trust Uw is 1932220829 and holds a License No. 26718 (Illinois).

The current practice location address for Gerald M Duffy Trust Uw is 122 E Howard St, Pontiac, IL and can be reached out via phone at 815-844-7111 and via fax at 815-842-1061. You can also correspond with Gerald M Duffy Trust Uw through the mailing address at 202 E HOWARD ST, PONTIAC, IL - 61764-1920 (mailing address contact number: 815-844-7111).

Location: 122 E Howard St, Pontiac, IL, 61764-1920
institution
Provider Profile Details
NPI Number
1932220829
Provider Name
Gerald M Duffy Trust Uw
Credential
Provider Entity Type
Organization
Address
122 E Howard St, Pontiac, IL, 61764-1920
Phone Number
815-844-7111
Fax Number
815-842-1061
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5390001 01 IL BLUE CROSS BLUE SHIELD
P00221706 01 IL RAILROAD MEDICARE
001803 01 IL HEALTH ALLIANCE
institution
Provider Business Practice Location Address Details
Address
122 E Howard St
City
State
Zip
61764-1918
Phone Number
815-844-7111
Fax Number
815-842-1061
person
Provider Business Mailing Address Details
Address
122 E Howard St
City
State
Zip
61764-1918
Phone Number
815-844-7111
Fax Number
815-842-1061
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
26718 (Illinois)
Definition
Definition to come...
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