Organization
VILLAGE OF MIDLOTHIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN HOTWAGNER (FIRE CHIEF)
(708) 389-8249
Entity
Organization
Contact information
Practice address
14801 PULASKI RD, MIDLOTHIAN, IL 60445-3401
(708) 489-4742
(708) 389-1829
Mailing address
PO BOX 1053, MOKENA, IL 60448-2052
(708) 478-5694
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
077585
IL
Other
Enumeration date
09/06/2013
Last updated
12/18/2019
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