Organization
VILLAGE OF OLYMPIA FIELDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA SAENZ (DIRECTOR OF FINANCE)
(705) 503-8000
Entity
Organization
Contact information
Practice address
20701 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1089
(708) 503-8000
(708) 503-8002
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-3836
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
81701
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1671486
BCBS
IL
Enumeration date
11/15/2006
Last updated
04/20/2008
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