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Organization

VILLAGE OF NORTHBROOK

Active
Other names
Northbrook Fire Department
Organization subpart
No

Provider details

NPI number
Authorized official
MAUREEN K MORRISSEY (ADMIN CLERK)
(847) 664-4494
Entity
Organization

Contact information

Practice address
740 DUNDEE RD, NORTHBROOK, IL 60062
(847) 272-2141
(847) 272-3294
Mailing address
740 DUNDEE RD, NORTHBROOK, IL 60062-2704
(847) 272-2141
(847) 272-3294

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
8192
IL
3416L0300X
Land Ambulance
Primary
10 8192
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001619793
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/22/2007
Last updated
08/21/2018
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