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Organization

VILLAGE OF WILLOW SPRINGS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY MORAN (FIRE CHIEF)
(708) 839-5665
Entity
Organization

Contact information

Practice address
8259 WILLOW SPRINGS RD, WILLOW SPRINGS, IL 60480-1267
(708) 839-5665
(708) 839-9767
Mailing address
PO BOX 251, CRESTWOOD, IL 60445-0251
(708) 389-6689
(708) 389-6685

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1670959
BCBS
IL
Enumeration date
01/03/2007
Last updated
08/19/2009
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