Organization
VILLAGE OF ALSIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS STYCZYNSKI PARAMEDIC (FIRE CHIEF)
(708) 292-0134
Entity
Organization
Contact information
Practice address
12600 S PULASKI RD, ALSIP, IL 60803-1913
(708) 292-0134
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(363) 518-6343
(336) 791-0196
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
815501
IL
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618132
BC BS OF ILLINOIS
IL
01
—
216262300
DEPT. OF LABOR
IL
01
—
590008209
RAILROAD RETIREMENT
IL
Enumeration date
12/20/2006
Last updated
07/22/2025
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