NPI: 1376835850 · LAKE ZURICH, IL 60047 · Land Ambulance · NPI assigned 05/03/2011
| Authorized Official | MASTANDRIA, TERRY (FIRE CHIEF) |
| NPI Enumeration Date | 05/03/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $328.30 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 12 | 12 | $328.30 |