Organization
PALOS FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J. CARR (CHIEF)
(708) 448-0369
Entity
Organization
Contact information
Practice address
8815 W 123RD ST, PALOS PARK, IL 60464-1785
(708) 448-0369
(708) 448-0849
Mailing address
PO BOX 1053, MOKENA, IL 60448-2052
(708) 478-5694
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
78580
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1670553
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/21/2006
Last updated
12/10/2019
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