Organization
VILLAGE OF OAK PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS EBSEN (FIRE CHIEF)
(708) 358-5602
Entity
Organization
Contact information
Practice address
100 N EUCLID AVE, OAK PARK, IL 60301-1404
(708) 358-5602
(708) 383-2495
Mailing address
395 W LAKE ST, ELMHURST, IL 60126-1508
(630) 530-2372
(630) 903-2830
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
88075
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-17059
BCBS
IL
01
—
590004925
RAILROAD MEDICARE
IL
Enumeration date
08/08/2006
Last updated
01/03/2012
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