Organization
PEOTONE FIRE PROTECTION DIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SCHREIBER (FIRE CHIEF)
(708) 258-6884
Entity
Organization
Contact information
Practice address
395 W LAKE ST, ELMHURST, IL 60126-1508
(630) 530-2988
(630) 903-2830
Mailing address
395 W LAKE ST, ELMHURST, IL 60126-1508
(630) 903-2372
(630) 903-2830
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
78366
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09970756
BCBS
IL
01
—
990013651
RAILROAD MEDICARE
IL
Enumeration date
10/09/2006
Last updated
01/03/2012
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