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Organization
CITY OF JOLIET
Active
Organization
CITY OF JOLIET
Active
Other names
Joliet Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MAROSE (CHIEF OF EMS)
(815) 724-3503
Entity
Organization
Contact information
Practice address
101 E CLINTON ST, JOLIET, IL 60432-4137
(815) 724-3503
(815) 724-3548
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-3518
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7 7093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009970528
BCBS
IL
01
—
42011
AMERICAN REPUBLIC IN
IL
01
—
60054
AETNA
IL
01
—
61425
STAMARK PHCS
IL
01
—
8100053
UNITED HEALTH CARE
IL
Enumeration date
10/27/2005
Last updated
04/20/2008
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