Organization
FOX LAKE FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD HOEHNE (FIRE CHIEF)
(847) 587-3312
Entity
Organization
Contact information
Practice address
306 WASHINGTON ST, INGLESIDE, IL 60041-0000
(847) 587-3312
(847) 587-0895
Mailing address
395 W LAKE ST, ELMHURST, IL 60126-1508
(630) 903-2199
(630) 903-2830
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4933197
BLUE CROSS BLUE SHIELD
IL
01
—
IL2719
MEDICARE, PART B
IL
Enumeration date
03/19/2009
Last updated
12/29/2011
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