Organization
VILLAGE OF ELK GROVE VILLAGE
Active
Other names
Elk Grove Village Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MILLER (FIRE CHIEF)
(847) 734-8002
Entity
Organization
Contact information
Practice address
901 WELLINGTON AVE, ELK GROVE VILLAGE, IL 60007-3456
(847) 734-8002
(847) 734-8024
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
8183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634101
BCBS
IL
01
—
613732300
DEPT OF LABOR OWCP
IL
Enumeration date
07/19/2006
Last updated
03/11/2009
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