Organization
VILLAGE OF WINNETKA
Active
Other names
Winnetka Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SMITH (FIRE CHIEF)
(847) 501-6028
Entity
Organization
Contact information
Practice address
428 GREEN BAY RD, WINNETKA, IL 60093-2528
(847) 501-6029
(847) 446-7989
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-7967
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
8203
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1671464
BCBS
IL
01
—
278740800
DOL OWCP
IL
01
—
590008158
RR MEDICARE
IL
Enumeration date
07/12/2006
Last updated
06/19/2008
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