Organization
SOUTH ELGIN AND COUNTRYSIDE FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CLUCHEY (FIRE CHIEF)
(847) 741-2141
Entity
Organization
Contact information
Practice address
150 W STATE ST, SOUTH ELGIN, IL 60177-1912
(847) 741-2141
(847) 741-2184
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
7287
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4570002
BCBS
IL
Enumeration date
06/14/2006
Last updated
05/01/2008
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