Organization
VILLAGE OF CALUMET PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS BATTISTELLA (FIRE CHIEF)
(773) 233-1170
Entity
Organization
Contact information
Practice address
12409 S THROOP ST, CALUMET PARK, IL 60827-5819
(773) 233-1170
(773) 233-8146
Mailing address
PO BOX 438495, CHICAGO, IL 60643-8495
(773) 233-1170
(773) 233-8146
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
78600
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-70820
BCBS
IL
Enumeration date
07/30/2006
Last updated
10/28/2008
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