Organization
VILLAGE OF GURNEE
Active
Other names
Gurnee Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN C GOSNELL (DIRECTOR OF FINANCE)
(847) 599-7521
Entity
Organization
Contact information
Practice address
4580 GRAND AVENUE, GURNEE, IL 60031-2813
(847) 599-6600
(847) 244-8693
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
107267
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04920462
BCBS
IL
01
—
590008355
RAILROAD MEDICARE
IL
Enumeration date
08/23/2006
Last updated
07/21/2022
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