Organization
VILLAGE OF BOLINGBROOK ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY ROLAND LAJOIE (FIRE CHIEF)
(630) 226-8540
Entity
Organization
Contact information
Practice address
375 W BRIARCLIFF RD, BOLINGBROOK, IL 60440-3825
(630) 226-8540
(630) 759-4016
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590005580
RAILROAD MEDICARE
—
01
—
9915055
BCBS OF IL
IL
Enumeration date
09/16/2005
Last updated
09/05/2025
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