Organization
MOKENA FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED GOLDEN (FIRE CHIEF)
(708) 479-5371
Entity
Organization
Contact information
Practice address
19853 WOLF RD, MOKENA, IL 60448-1315
(708) 479-5371
(708) 479-2970
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7814
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9970886
BCBS
IL
Enumeration date
05/31/2006
Last updated
04/20/2008
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