| Organization Name: | GREAT LAKES EMS |
| NPI Number: | 1972845337 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEAN M SCHMIDT (OWNER) |
| Mailing Address: | 649 County Road 2150e Casey |
| State: | IL US |
| Postal Code: | 624204136 |
| Phone Number: | 7158894491 |
| Fax Number: | |
| NPI Enumeration Date: | 03/25/2013 |
| NPI Last Update Date: | 03/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 3099 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |