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Jon Gieseking

NPI 1114196375 · on the registry since 2008 · sole proprietor

Practice

Address
208 N 2nd St
Altamont, IL 62411
Phone
(618) 483-6821
Organisation at this address
Jon Richmond Gieseking
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Ambulance
341600000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois