Organization
BOURBONNAIS FIRE DISTRICT
Active
Other names
Bourbonnais Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
ED ST LOUIS (CHIEF)
(815) 935-9670
Entity
Organization
Contact information
Practice address
1080 ARMOUR RD, BOURBONNAIS, IL 60914-2102
(815) 935-9670
(815) 935-9675
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-9515
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
77816
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4630164
BLUE CROSS BLUE SHIELD
IL
01
—
590014460
MEDICARE RAILROAD
IL
01
—
611645300
DOL OWCP
IL
Enumeration date
06/04/2006
Last updated
05/26/2009
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