Organization
VILLAGE OF LA GRANGE PARK
Active
Other names
La Grange Park Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN MAGGOS (FIRE CHIEF)
(708) 354-0225
Entity
Organization
Contact information
Practice address
447 N CATHERINE AVE, LA GRANGE PARK, IL 60526-2006
(708) 354-0225
(708) 482-4425
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
8305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1630227
BCBS
IL
01
—
590014325
RR MEDICARE
IL
01
—
612094800
DEPT OF LABOR OWCP
IL
Enumeration date
07/30/2006
Last updated
06/26/2008
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