# VILLAGE OF SOUTH HOLLAND

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

## Provider details

- **NPI number:** 1881759652
- **Authorized official:** BRIAN KOLOSH (FIRE CHIEF)
- **Authorized official phone:** (708) 478-5694

## Contact information

- **Practice address:** 16226 WAUSAU AVE, SOUTH HOLLAND, IL 60473-2156
- **Practice address phone:** (773) 233-1170
- **Practice address fax:** (773) 233-8146
- **Mailing address:** PO BOX 1053, MOKENA, IL 60448-2052
- **Mailing address phone:** (708) 478-5694
- **Mailing address fax:** (773) 233-8146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | IL | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 09/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1620362 | HMO ILLINOIS | IL |
| 01 | — | 590009878 | RAILROAD RETIREMENT | IL |