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Organization
HOMER TOWNSHIP FIRE PROTECTION DISTRICT
Active
Organization
HOMER TOWNSHIP FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY ESSENBURG (LIEUTENANT)
(815) 838-5006
Entity
Organization
Contact information
Practice address
16050 S CEDAR RD, LOCKPORT, IL 60491-8285
(815) 838-0250
(815) 838-6635
Mailing address
16050 S CEDAR RD, LOCKPORT, IL 60491-8285
(815) 838-0250
(815) 838-6635
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7 7105
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518007830
BLUE CROSS BLUE SHIELD
IL
01
—
160229513367
HUMANA
IL
Enumeration date
02/07/2007
Last updated
08/09/2007
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