NPI: 1003849647 · SPRING GROVE, IL 60081 · Land Ambulance · NPI assigned 07/08/2006
| Authorized Official | KLICKER, PAUL (FIRE CHIEF) |
| NPI Enumeration Date | 07/08/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $773.54 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 12 | 12 | $773.54 |