Organization
TRI STATE FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL HAGY (CHIEF ADMINISTRATOR)
(630) 323-6445
Entity
Organization
Contact information
Practice address
419 PLAINFIELD RD, DARIEN, IL 60561-4207
(630) 323-6445
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
7124
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2232471
BCBS
IL
Enumeration date
07/08/2006
Last updated
04/20/2008
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