Organization
VILLAGE OF NORTH RIVERSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN SCARPINITI (TREASURER)
(708) 447-4211
Entity
Organization
Contact information
Practice address
2331 DESPLAINES AVE, NORTH RIVERSIDE, IL 60546-1564
(708) 447-1981
(708) 447-3030
Mailing address
2401 DESPLAINES AVE, NORTH RIVERSIDE, IL 60546-1584
(708) 447-4211
(708) 447-4292
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
8829402
IL
341600000X
Ambulance
Primary
8829403
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021621768
BC/BS OF IL
IL
Enumeration date
05/16/2006
Last updated
08/22/2020
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