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Organization
VILLAGE OF NORTHBROOK
Active
Organization
VILLAGE OF NORTHBROOK
Active
Other names
Northbrook Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN K MORRISSEY (ADMIN CLERK)
(847) 664-4494
Entity
Organization
Contact information
Practice address
740 DUNDEE RD, NORTHBROOK, IL 60062
(847) 272-2141
(847) 272-3294
Mailing address
740 DUNDEE RD, NORTHBROOK, IL 60062-2704
(847) 272-2141
(847) 272-3294
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
8192
IL
3416L0300X
Land Ambulance
Primary
10 8192
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001619793
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/22/2007
Last updated
08/21/2018
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