Organization
VILLAGE OF GLENCOE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARY LEWANDOWSKI (PUBLIC SAFETY DIRECTOR)
(847) 461-1132
Entity
Organization
Contact information
Practice address
675 VILLAGE CT, GLENCOE, IL 60022-1609
(847) 835-4112
(847) 835-8438
Mailing address
PO BOX 1368, ELMHURST, IL 60126-8368
(630) 530-2988
(630) 832-9750
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
108915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-19842
BLUE CROSS BLUE SHIELD
IL
05
—
366085899001
—
IL
01
—
590011314
RAILROAD MEDICARE
IL
Enumeration date
07/22/2006
Last updated
09/08/2025
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