Provider Demographics
NPI:1750639068
Name:DALEY'S AMBULANCE SERVICE, LTD
Entity Type:Organization
Organization Name:DALEY'S AMBULANCE SERVICE, LTD
Other - Org Name:DALEY'S AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:WAPPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-849-0945
Mailing Address - Street 1:1234 E SIBLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:DOLTON
Mailing Address - State:IL
Mailing Address - Zip Code:60419-2944
Mailing Address - Country:US
Mailing Address - Phone:708-849-0945
Mailing Address - Fax:708-849-8324
Practice Address - Street 1:2313 OAK LEAF ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60436-1010
Practice Address - Country:US
Practice Address - Phone:815-734-3525
Practice Address - Fax:708-849-8324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL7583341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance