Organization
CHANNAHON FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE RIDDLE (FIRE CHIEF)
(815) 467-6767
Entity
Organization
Contact information
Practice address
24929 S CENTER ST, CHANNAHON, IL 60410-5009
(630) 530-2988
(630) 903-2830
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-3518
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
77126
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09923215
BCBS
IL
Enumeration date
07/30/2006
Last updated
04/20/2008
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