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Organization
VILLAGE OF LAKEWOOD
Active
Organization
VILLAGE OF LAKEWOOD
Active
Other names
Lakewood Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY HEUMANN (FIRE CHIEF)
(815) 459-3025
Entity
Organization
Contact information
Practice address
2500 LAKE AVE, VILLAGE OF LAKEWOOD, IL 60014-5120
(815) 459-3025
(815) 459-3156
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-3518
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
8205
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5632233
BCBS
IL
Enumeration date
04/13/2007
Last updated
06/18/2008
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