Organization
LITTLE ROCK FOX FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY R WITEK (FIRE CHIEF)
(630) 552-3311
Entity
Organization
Contact information
Practice address
5 E NORTH ST, PLANO, IL 60545-1529
(630) 552-3311
(630) 618-3800
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-3518
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
097169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04732006
BLUE CROSS
IL
01
—
590014999
RAILROAD MEDICARE
IL
Enumeration date
07/25/2006
Last updated
11/12/2013
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