Organization
VILLAGE OF NILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCIPIONE (FIRE CHIEF)
(847) 514-1630
Entity
Organization
Contact information
Practice address
1000 CIVIC CENTER DR, NILES, IL 60714-3229
(847) 588-6800
(847) 588-6850
Mailing address
PO BOX 6253, CAROL STREAM, IL 60197-6253
(630) 530-2988
(630) 832-9750
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
108191
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-21460
BCBS
IL
01
—
590013828
RAILROAD MEDICARE
IL
Enumeration date
08/08/2006
Last updated
09/08/2025
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