Organization
MCHENRY TOWNSHIP FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE AMORE (FIRE CHIEF)
(815) 385-0075
Entity
Organization
Contact information
Practice address
3610 W ELM ST, MCHENRY, IL 60050-4356
(815) 385-0075
(815) 385-9419
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
7142
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349023600
DOL OWCP
IL
01
—
5670644
BCBS
IL
01
—
590006551
RR MEDICARE
IL
01
—
628439
BCBS ANTHEM
IL
Enumeration date
05/26/2006
Last updated
05/05/2008
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