Organization
NORTH PALOS FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RUSSELL (FIRE CHIEF)
(708) 974-4474
Entity
Organization
Contact information
Practice address
10629 S ROBERTS RD, PALOS HILLS, IL 60465-1935
(708) 974-4474
(708) 974-0626
Mailing address
10629 S ROBERTS RD, PALOS HILLS, IL 60465-1935
(708) 974-4474
(708) 974-0626
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
000008579
IL
341600000X
Ambulance
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620363
BCBS PROVIDER NUMBER
IL
Enumeration date
08/31/2006
Last updated
07/10/2013
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