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Organization

VILLAGE OF STICKNEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY GLENN BOYAJIAN (FIRE CHIEF)
(708) 795-6333
Entity
Organization

Contact information

Practice address
6433 43RD ST, STICKNEY, IL 60402-4417
(773) 233-1170
(773) 233-8146
Mailing address
PO BOX 1368, ELMHURST, IL 60126-8368
(630) 530-2988
(630) 832-9750

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1636186
HMO ILLINOIS
IL
01
590013736
RAILROAD RETIREMENT
IL
Enumeration date
12/26/2006
Last updated
09/08/2025
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