| Organization Name: | JON RICHMOND GIESEKING |
| NPI Number: | 1164621694 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JON RICHMOND GIESEKING (OWNER) |
| Mailing Address: | 208 N 2nd St Altamont |
| State: | IL US |
| Postal Code: | 624111402 |
| Phone Number: | 6184836821 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2007 |
| NPI Last Update Date: | 06/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 5106 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |