Organization
ELK GROVE RURAL FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NELSON (FIRE CHIEF)
(847) 364-4236
Entity
Organization
Contact information
Practice address
1415 E ALGONQUIN RD, ARLINGTON HEIGHTS, IL 60005-4715
(847) 364-4236
(847) 364-9746
Mailing address
395 WEST LAKE STREET, ELMHURST, IL 60126-1508
(630) 903-2372
(630) 903-2830
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
98290
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-70472
BCBS
IL
01
—
590015412
RAILROAD MEDICARE
IL
Enumeration date
07/31/2006
Last updated
01/30/2012
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