Organization
VILLAGE OF LIBERTYVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MICHAEL CARANI MPA (FIRE CHIEF)
(847) 362-5664
Entity
Organization
Contact information
Practice address
1551 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1394
(847) 362-5664
(847) 362-8829
Mailing address
1551 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1394
(847) 362-5664
(847) 362-8829
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
10-7265
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
717060
—
IL
Enumeration date
05/19/2006
Last updated
06/17/2008
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