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Organization

VILLAGE OF UNIVERSITY PARK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS R. STEGENGA (FIRE CHIEF)
(708) 235-4822
Entity
Organization

Contact information

Practice address
698 BURNHAM DR, UNIVERSITY PARK, IL 60466-2708
(708) 235-4833
(708) 534-4820
Mailing address
PO BOX 6253, CAROL STREAM, IL 60197-6253
(630) 530-2988
(630) 832-9750

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
77581
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09970769
BCBS
IL
01
590004315
RAILROAD MEDICARE
IL
Enumeration date
10/09/2006
Last updated
09/08/2025
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