Organization
CAROL STREAM FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BODANE (CHIEF)
(630) 668-4836
Entity
Organization
Contact information
Practice address
365 KUHN RD, CAROL STREAM, IL 60188-4707
(630) 668-4836
(630) 668-4877
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-9515
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7254
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2221561
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/01/2006
Last updated
04/20/2008
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