# CITY OF WAUKEGAN ILLINOIS

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

## Provider details

- **NPI number:** 1891729869
- **Authorized official:** GREGG PAISER (FIRE CHIEF)
- **Authorized official phone:** (847) 625-6333

## Contact information

- **Practice address:** 1101 BELVIDERE ST, WAUKEGAN, IL 60085-6201
- **Practice address phone:** (847) 249-5410
- **Practice address fax:** (847) 249-5607
- **Mailing address:** PO BOX 1368, ELMHURST, IL 60126-8368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 7275 | IL | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 04/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4920251 | BCBS | IL |
| 01 | — | 590013130 | RR MEDICARE | IL |
| 01 | — | 614345800 | DEPT OF LABOR OFFICE OF WORKER COMP | IL |