# FOX LAKE FIRE DEPARTMENT

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

## Provider details

- **NPI number:** 1649285164
- **Authorized official:** MR. RON HOEHNE (FIRE CHIEF)
- **Authorized official phone:** (847) 587-8570

## Contact information

- **Practice address:** 395 W LAKE ST, ELMHURST, IL 60126-1508
- **Practice address phone:** (847) 587-8570
- **Practice address fax:** (847) 587-9711
- **Mailing address:** 395 W LAKE ST, ELMHURST, IL 60126-1508
- **Mailing address phone:** (630) 530-2988
- **Mailing address fax:** (630) 903-2830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 97261 | IL | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 049-15094 | BCBS | IL |