Organization
CITY OF DESPLAINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW MATZL (FIRE CHIEF)
(773) 233-1170
Entity
Organization
Contact information
Practice address
405 S RIVER RD, DES PLAINES, IL 60016-4730
(773) 233-1170
(773) 233-8146
Mailing address
405 S RIVER RD, DES PLAINES, IL 60016-4730
(773) 233-1170
(773) 233-8146
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
818001
IL
3416L0300X
Land Ambulance
Primary
818001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132862900
U S DEPT OF LABOR
IL
01
—
1636185
HMO ILLINOIS
IL
Enumeration date
12/21/2006
Last updated
03/19/2026
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