# CHERRY VALLEY FIRE PROTECTION DISTRICT

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

## Provider details

- **NPI number:** 1619922382
- **Authorized official:** JOSEPH MICHAEL CORL (FIRE CHIEF)
- **Authorized official phone:** (815) 332-5382

## Contact information

- **Practice address:** 120 E STATE ST, CHERRY VALLEY, IL 61016
- **Practice address phone:** (815) 332-5382
- **Practice address fax:** (815) 332-3159
- **Mailing address:** 395 W LAKE ST, ELMHURST, IL 60126-1508
- **Mailing address phone:** (630) 903-1280
- **Mailing address fax:** (630) 903-2830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 11013 | IL | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 04/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10132209 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | 214125 | MEDICARE, PART B | IL |