Organization
VILLAGE OF LA GRANGE
Active
Other names
LaGrange Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLEEGE (FIRE CHIEF)
(708) 579-2338
Entity
Organization
Contact information
Practice address
300 W BURLINGTON AVE, LA GRANGE, IL 60525-2363
(708) 579-2338
(708) 579-9747
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
8064
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005886346
AETNA
IL
01
—
1632702
BCBS
IL
01
—
P00089642
RR MEDICARE
IL
Enumeration date
07/30/2006
Last updated
05/06/2008
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