# VILLAGE OF CALUMET PARK

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

## Provider details

- **NPI number:** 1437164282
- **Authorized official:** MR. THOMAS BATTISTELLA (FIRE CHIEF)
- **Authorized official phone:** (773) 233-1170

## Contact information

- **Practice address:** 12409 S THROOP ST, CALUMET PARK, IL 60827-5819
- **Practice address phone:** (773) 233-1170
- **Practice address fax:** (773) 233-8146
- **Mailing address:** PO BOX 438495, CHICAGO, IL 60643-8495
- **Mailing address phone:** (773) 233-1170
- **Mailing address fax:** (773) 233-8146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 78600 | IL | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 10/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 016-70820 | BCBS | IL |