Organization
VILLAGE OF HANOVER PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG HAIGH (FIRE CHIEF)
(630) 372-4200
Entity
Organization
Contact information
Practice address
2121 W LAKE ST, HANOVER PARK, IL 60133-4301
(630) 372-4200
(630) 372-4215
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
8960
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623660
BCBS
IL
Enumeration date
08/23/2006
Last updated
04/20/2008
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