# VILLAGE OF GLENCOE

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

## Provider details

- **NPI number:** 1659392850
- **Authorized official:** MR. CARY LEWANDOWSKI (PUBLIC SAFETY DIRECTOR)
- **Authorized official phone:** (847) 461-1132

## Contact information

- **Practice address:** 675 VILLAGE CT, GLENCOE, IL 60022-1609
- **Practice address phone:** (847) 835-4112
- **Practice address fax:** (847) 835-8438
- **Mailing address:** PO BOX 1368, ELMHURST, IL 60126-8368
- **Mailing address phone:** (630) 530-2988
- **Mailing address fax:** (630) 832-9750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 108915 | IL | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 09/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 016-19842 | BLUE CROSS BLUE SHIELD | IL |
| 05 | — | 366085899001 | — | IL |
| 01 | — | 590011314 | RAILROAD MEDICARE | IL |