Organization
VILLAGE OF MUNDELEIN
Active
Other names
Mundelein Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LARK (FIRE CHIEF)
(847) 949-3260
Entity
Organization
Contact information
Practice address
1000 N MIDLOTHIAN RD, MUNDELEIN, IL 60060-1235
(847) 623-6440
(847) 623-9290
Mailing address
PO BOX 6253, CAROL STREAM, IL 60197-6253
(630) 530-2988
(630) 832-9750
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7272
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932102
BCBS
IL
01
—
590009421
RR MEDICARE
IL
Enumeration date
06/12/2006
Last updated
09/08/2025
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