Organization
CITY OF ROLLING MEADOWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP BURNS (FIRE)
(847) 397-3352
Entity
Organization
Contact information
Practice address
2455 PLUM GROVE RD, ROLLING MEADOWS, IL 60008-2052
(847) 397-3352
(847) 397-7489
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-3518
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
98196
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01671104
BCBS
IL
01
—
590013132
RR MEDICARE
IL
01
—
613407300
DOL OWCP
IL
Enumeration date
10/09/2006
Last updated
06/27/2008
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