# VILLAGE OF LA GRANGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LaGrange Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154336865
- **Authorized official:** DAVID FLEEGE (FIRE CHIEF)
- **Authorized official phone:** (708) 579-2338

## Contact information

- **Practice address:** 300 W BURLINGTON AVE, LA GRANGE, IL 60525-2363
- **Practice address phone:** (708) 579-2338
- **Practice address fax:** (708) 579-9747
- **Mailing address:** PO BOX 457, WHEELING, IL 60090-0457
- **Mailing address phone:** (847) 577-8811
- **Mailing address fax:** (847) 577-7967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 8064 | IL | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 05/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005886346 | AETNA | IL |
| 01 | — | 1632702 | BCBS | IL |
| 01 | — | P00089642 | RR MEDICARE | IL |