Organization
VILLAGE OF BRIDGEVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DUZZAK (EMS COORDINATOR)
(708) 259-6345
Entity
Organization
Contact information
Practice address
7500 S OKETO AVE, BRIDGEVIEW, IL 60455-2508
(708) 924-8250
(708) 924-8202
Mailing address
7500 S OKETO AVE, BRIDGEVIEW, IL 60455-1297
(708) 924-8250
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
828201
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1690062
HMO ILLINOIS
IL
01
—
590028246
RAILROAD RETIREMENT
IL
Enumeration date
12/20/2006
Last updated
03/11/2022
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