# VILLAGE OF PALATINE

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

## Provider details

- **NPI number:** 1740220151
- **Authorized official:** PATRICK GRATZIANNA (FIRE CHIEF)
- **Authorized official phone:** (847) 202-6341

## Contact information

- **Practice address:** 200 E WOOD ST, PALATINE, IL 60067-5346
- **Practice address phone:** (847) 202-6340
- **Practice address fax:** (847) 202-6320
- **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 | 8204 | IL | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 09/13/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1633594 | BCBS | IL |
| 01 | — | 20513730 | DEPT OF LABOR OWCP | IL |
| 01 | — | P00077043 | RR MEDICARE | IL |