Organization
CHERRY VALLEY FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MICHAEL CORL (FIRE CHIEF)
(815) 332-5382
Entity
Organization
Contact information
Practice address
120 E STATE ST, CHERRY VALLEY, IL 61016
(815) 332-5382
(815) 332-3159
Mailing address
395 W LAKE ST, ELMHURST, IL 60126-1508
(630) 903-1280
(630) 903-2830
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
11013
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10132209
BLUE CROSS BLUE SHIELD
IL
01
—
214125
MEDICARE, PART B
IL
Enumeration date
05/23/2006
Last updated
04/06/2020
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