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Organization
CITY OF SYCAMORE DEKALB COUNTY ILLINOIS
Active
Organization
CITY OF SYCAMORE DEKALB COUNTY ILLINOIS
Active
Other names
Sycamore Fire Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BART GILLMORE (FIRE CHIEF)
(815) 895-4514
Entity
Organization
Contact information
Practice address
1351 S PRAIRIE DR, SYCAMORE, IL 60178
(815) 895-4514
(815) 895-3376
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(877) 218-4392
(877) 343-0131
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
11317
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010914
HEALTH ALLIANCE
—
01
—
01922224
BLUE CROSS BLUE SHIELD
IL
01
—
1000001928
ROCKFORD HEALTH PLANS
—
01
—
278738000
DOL OWCP
—
01
—
590006214
PALMETTO
—
01
—
62308
CIGNA HEALTHCARE
—
01
—
ILSP003869
THIN
—
Enumeration date
06/03/2006
Last updated
02/04/2026
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