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Organization

MARENGO RESCUE SQUAD DISTRICT

Active
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Organization

MARENGO RESCUE SQUAD DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODI WIGHTMAN (DEPUTY TREASURER)
(815) 568-8912
Entity
Organization

Contact information

Practice address
120 E PRAIRIE ST, MARENGO, IL 60152-3128
(815) 568-8912
(815) 568-8920
Mailing address
120 E PRAIRIE ST, MARENGO, IL 60152-3128
(815) 568-8912
(815) 568-8920

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1706934
IL
3416L0300X
Land Ambulance
Primary
1706934
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5615142
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/22/2006
Last updated
10/09/2026
About Stedi
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