Organization
VILLAGE OF WILMETTE
Active
Other names
Wilmette Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROBBERSON (FIRE CHIEF)
(847) 251-2700
Entity
Organization
Contact information
Practice address
1304 LAKE AVE, WILMETTE, IL 60091-1664
(847) 251-2700
(847) 853-7642
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
8202
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632895
BCBS
IL
01
—
590015238
RR MEDICARE
IL
01
—
611708300
DOL OWCP
IL
Enumeration date
07/18/2006
Last updated
08/27/2009
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