Organization
VILLAGE OF CRESTWOOD ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON NEWTON (FIRE CHIEF)
(708) 478-5694
Entity
Organization
Contact information
Practice address
13840 CICERO AVE, CRESTWOOD, IL 60445-1827
(708) 371-4800
(708) 385-2836
Mailing address
PO BOX 1053, MOKENA, IL 60448-2052
(708) 478-5694
(708) 385-2836
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
07/24/2009
Last updated
12/10/2019
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