Organization
CITY OF KANKAKEE
Active
Other names
Kankakee Fire Dept
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN LAROCHE (CHIEF)
(815) 933-0458
Entity
Organization
Contact information
Practice address
385 E OAK ST, KANKAKEE, IL 60901-3924
(815) 933-0450
Mailing address
385 E OAK ST, KANKAKEE, IL 60901-3924
(815) 933-0458
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
IL
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04670555
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/11/2006
Last updated
09/16/2025
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