Organization
CITY OF HIGHWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS LOVEJOY (FIRE CHIEF)
(847) 432-7622
Entity
Organization
Contact information
Practice address
428 GREEN BAY RD, HIGHWOOD, IL 60040-1306
(847) 432-7622
(847) 432-7521
Mailing address
395 W LAKE ST, ELMHURST, IL 60126-1508
(630) 903-1280
(630) 903-2830
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
107917
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932568
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/19/2006
Last updated
12/29/2011
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