Organization
HOMER TOWNSHIP FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY ESSENBURG (LIEUTENANT)
(815) 838-5006
Entity
Organization
Contact information
Practice address
16050 S CEDAR RD, LOCKPORT, IL 60491-8285
(815) 838-0250
(815) 838-6635
Mailing address
16050 S CEDAR RD, LOCKPORT, IL 60491-8285
(815) 838-0250
(815) 838-6635
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7 7105
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518007830
BLUE CROSS BLUE SHIELD
IL
01
—
160229513367
HUMANA
IL
Enumeration date
02/07/2007
Last updated
08/09/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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