Organization
VILLAGE OF HILLSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LOIUS CARLING (FIRE CHIEF)
(708) 202-3402
Entity
Organization
Contact information
Practice address
523 N WOLF RD, HILLSIDE, IL 60162-1209
(708) 202-3402
(708) 544-6405
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
88063
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-21242
BLUECROSSBLUESHIELD
IL
01
—
590013947
RAILROAD MEDICARE
IL
Enumeration date
05/12/2006
Last updated
09/08/2025
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