# VILLAGE OF GURNEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gurnee Fire Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710093372
- **Authorized official:** MR. BRIAN C GOSNELL (DIRECTOR OF FINANCE)
- **Authorized official phone:** (847) 599-7521

## Contact information

- **Practice address:** 4580 GRAND AVENUE, GURNEE, IL 60031-2813
- **Practice address phone:** (847) 599-6600
- **Practice address fax:** (847) 244-8693
- **Mailing address:** PO BOX 6253, CAROL STREAM, IL 60197-6253
- **Mailing address phone:** (630) 530-2988
- **Mailing address fax:** (630) 832-9750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 107267 | IL | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04920462 | BCBS | IL |
| 01 | — | 590008355 | RAILROAD MEDICARE | IL |