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Organization
VILLAGE OF MATTESON
Active
Organization
VILLAGE OF MATTESON
Active
Other names
Matteson Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
NICK WILKINS (FIRE CHIEF)
(708) 748-5129
Entity
Organization
Contact information
Practice address
3445 211TH ST, MATTESON, IL 60443-2521
(708) 748-5129
(708) 283-6606
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
8171
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1690076
BCBS
IL
01
—
590009914
RR MEDICARE
IL
Enumeration date
05/26/2006
Last updated
06/30/2008
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