Organization
CITY OF CRYSTAL LAKE
Active
Other names
CRYSTAL LAKE FIRE RESCUE DEPARTMENT, Crystal Lake Emergency
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG SNYDER (FIRE CHIEF)
(815) 459-2020
Entity
Organization
Contact information
Practice address
100 W WOODSTOCK ST, CRYSTAL LAKE, IL 60014-4262
(815) 459-2020
(815) 477-2568
Mailing address
1 PIERCE PL STE 750W, ITASCA, IL 60143-1234
(847) 678-0865
(888) 464-4429
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7140
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004531041
AETNA
IL
01
—
5670002
BCBS
IL
01
—
590028206
RR MEDICARE
IL
Enumeration date
07/16/2006
Last updated
01/27/2026
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