Organization
VILLAGE OF RIVER FOREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GAERTNER (FIRE CHIEF)
(708) 714-3560
Entity
Organization
Contact information
Practice address
400 PARK AVE, RIVER FOREST, IL 60305-1726
(708) 366-8500
(708) 366-3702
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
88076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01670525
BLUE CROSS BLUE SHIELD
IL
01
—
590013811
RAILROAD MEDICARE
IL
Enumeration date
10/09/2006
Last updated
09/08/2025
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