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Organization
VILLAGE OF SOUTH HOLLAND
Active
Organization
VILLAGE OF SOUTH HOLLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KOLOSH (FIRE CHIEF)
(708) 478-5694
Entity
Organization
Contact information
Practice address
16226 WAUSAU AVE, SOUTH HOLLAND, IL 60473-2156
(773) 233-1170
(773) 233-8146
Mailing address
PO BOX 1053, MOKENA, IL 60448-2052
(708) 478-5694
(773) 233-8146
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
IL
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620362
HMO ILLINOIS
IL
01
—
590009878
RAILROAD RETIREMENT
IL
Enumeration date
12/22/2006
Last updated
09/14/2026
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