# CITY OF HIGHWOOD

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

## Provider details

- **NPI number:** 1376596148
- **Authorized official:** MR. THOMAS LOVEJOY (FIRE CHIEF)
- **Authorized official phone:** (847) 432-7622

## Contact information

- **Practice address:** 428 GREEN BAY RD, HIGHWOOD, IL 60040-1306
- **Practice address phone:** (847) 432-7622
- **Practice address fax:** (847) 432-7521
- **Mailing address:** 395 W LAKE ST, ELMHURST, IL 60126-1508
- **Mailing address phone:** (630) 903-1280
- **Mailing address fax:** (630) 903-2830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 107917 | IL | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 12/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04932568 | BLUE CROSS BLUE SHIELD | IL |