# CITY OF CRYSTAL LAKE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRYSTAL LAKE FIRE RESCUE DEPARTMENT, Crystal Lake Emergency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366469215
- **Authorized official:** CRAIG SNYDER (FIRE CHIEF)
- **Authorized official phone:** (815) 459-2020

## Contact information

- **Practice address:** 100 W WOODSTOCK ST, CRYSTAL LAKE, IL 60014-4262
- **Practice address phone:** (815) 459-2020
- **Practice address fax:** (815) 477-2568
- **Mailing address:** 1 PIERCE PL STE 750W, ITASCA, IL 60143-1234
- **Mailing address phone:** (847) 678-0865
- **Mailing address fax:** (888) 464-4429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 7140 | IL | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 01/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0004531041 | AETNA | IL |
| 01 | — | 5670002 | BCBS | IL |
| 01 | — | 590028206 | RR MEDICARE | IL |