# VILLAGE OF WESTERN SPRG

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

## Provider details

- **NPI number:** 1881929537
- **Authorized official:** MS. DONNA M RUCH (PARAMEDIC FIREFIGHTER)
- **Authorized official phone:** (708) 246-1182

## Contact information

- **Practice address:** 4353 WOLF RD, WESTERN SPRGS, IL 60558-1416
- **Practice address phone:** (708) 246-1182
- **Practice address fax:** (708) 246-4871
- **Mailing address:** 740 HILLGROVE AVE, WESTERN SPRGS, IL 60558-1409
- **Mailing address phone:** (708) 246-1182
- **Mailing address fax:** (708) 246-4871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 08 8084 | IL | Yes |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 10/14/2009