Organization
VILLAGE OF SUMMIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ANDERSON (FIRE CHIEF)
(708) 594-3894
Entity
Organization
Contact information
Practice address
7339 W 59TH ST, SUMMIT, IL 60501-1419
(708) 594-3894
(708) 594-4912
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
78422
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01670387
BCBS
IL
Enumeration date
10/09/2006
Last updated
09/08/2025
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