# LINCOLNSHIRE RIVERWOODS FIRE PROTECTION DISTRICT

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

## Provider details

- **NPI number:** 1679514541
- **Authorized official:** FRED KRUGER (FIRE CHIEF)
- **Authorized official phone:** (847) 634-2512

## Contact information

- **Practice address:** 115 SCHELTER RD, LINCOLNSHIRE, IL 60069-3603
- **Practice address phone:** (847) 634-2512
- **Practice address fax:** (847) 634-2572
- **Mailing address:** PO BOX 457, WHEELING, IL 60090-0457
- **Mailing address phone:** (847) 577-8811
- **Mailing address fax:** (847) 577-7967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 7966 | IL | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 03/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4921937 | BCBS | IL |
| 01 | — | 590013643 | RR MEDICARE | IL |
| 01 | — | 612192900 | DEPT OF LABOR OWCP | IL |