Organization
LAKE VILLA FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER PARKER (FIRE CHIEF)
(847) 356-2992
Entity
Organization
Contact information
Practice address
910 E GRAND AVE, LAKE VILLA, IL 60046-7819
(847) 356-7376
(847) 356-3161
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
7095
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932159
BCBS
IL
Enumeration date
07/30/2006
Last updated
04/20/2008
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