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Organization

VILLAGE OF HANOVER PARK

Active
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Organization

VILLAGE OF HANOVER PARK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG HAIGH (FIRE CHIEF)
(630) 372-4200
Entity
Organization

Contact information

Practice address
2121 W LAKE ST, HANOVER PARK, IL 60133-4301
(630) 372-4200
(630) 372-4215
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
8960
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623660
BCBS
IL
Enumeration date
08/23/2006
Last updated
04/20/2008
About Stedi
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