# PEOTONE FIRE PROTECTION DIST

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

## Provider details

- **NPI number:** 1467549527
- **Authorized official:** MR. WILLIAM SCHREIBER (FIRE CHIEF)
- **Authorized official phone:** (708) 258-6884

## Contact information

- **Practice address:** 395 W LAKE ST, ELMHURST, IL 60126-1508
- **Practice address phone:** (630) 530-2988
- **Practice address fax:** (630) 903-2830
- **Mailing address:** 395 W LAKE ST, ELMHURST, IL 60126-1508
- **Mailing address phone:** (630) 903-2372
- **Mailing address fax:** (630) 903-2830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 78366 | IL | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 01/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09970756 | BCBS | IL |
| 01 | — | 990013651 | RAILROAD MEDICARE | IL |
