# CITY OF LASALLE

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

## Provider details

- **NPI number:** 1346542339
- **Authorized official:** MR. ANDREW ANTONE BACIDORE EMT-BASIC (FIRE CHIEF)
- **Authorized official phone:** (815) 223-0834

## Contact information

- **Practice address:** 745 2ND ST, LA SALLE, IL 61301-2501
- **Practice address phone:** (815) 223-4579
- **Practice address fax:** (815) 223-0857
- **Mailing address:** 745 2ND ST, LA SALLE, IL 61301-2501
- **Mailing address phone:** (815) 223-4579
- **Mailing address fax:** (815) 223-0857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 022482 | IL | Yes |

## Other

- **Enumeration date:** 11/23/2010
- **Last updated:** 12/09/2010