# VILLAGE OF MORTON GROVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144236951
- **Authorized official:** MR. THOMAS J. FRIEL (FIRE CHIEF)
- **Authorized official phone:** (847) 470-5226

## Contact information

- **Practice address:** 6250 LINCOLN AVE, MORTON GROVE, IL 60053-2852
- **Practice address phone:** (847) 470-5226
- **Practice address fax:** (847) 965-7711
- **Mailing address:** 395 W LAKE ST, ELMHURST, IL 60126-1508
- **Mailing address phone:** (630) 903-2372
- **Mailing address fax:** (630) 903-2830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 108188 | IL | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 01/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 016-70646 | BCBS | IL |
| 01 | — | 590013814 | RAILROAD MEDICARE | IL |