Organization
CITY OF SYCAMORE DEKALB COUNTY ILLINOIS
Active
Other names
Sycamore Fire Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BART GILLMORE (FIRE CHIEF)
(815) 895-4514
Entity
Organization
Contact information
Practice address
1351 S PRAIRIE DR, SYCAMORE, IL 60178
(815) 895-4514
(815) 895-3376
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(877) 218-4392
(877) 343-0131
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
11317
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010914
HEALTH ALLIANCE
—
01
—
01922224
BLUE CROSS BLUE SHIELD
IL
01
—
1000001928
ROCKFORD HEALTH PLANS
—
01
—
278738000
DOL OWCP
—
01
—
590006214
PALMETTO
—
01
—
62308
CIGNA HEALTHCARE
—
01
—
ILSP003869
THIN
—
Enumeration date
06/03/2006
Last updated
02/04/2026
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