Organization
LONG GROVE FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SEGALLA (FIRE CHIEF)
(847) 634-3143
Entity
Organization
Contact information
Practice address
1165 OLD MCHENRY RD, LONG GROVE, IL 60047-5088
(847) 634-3143
(847) 634-2027
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
107266
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049-90002
BCBS
IL
01
—
590013830
RAILROAD MEDICARE
IL
Enumeration date
07/31/2006
Last updated
09/08/2025
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