Organization
CITY OF BLUE ISLAND
Active
Other names
Blue Island Fire Department, Blue Island fire department
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALLEN HAYWOOD (FIRE CHIEF)
(708) 606-6736
Entity
Organization
Contact information
Practice address
2450 VERMONT ST, BLUE ISLAND, IL 60406-2362
(773) 233-1170
(773) 233-8146
Mailing address
PO BOX 747, WHEELING, IL 60090-0747
(743) 264-2420
(336) 791-0195
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
815701
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132857300
U.S. DEPT OF LABOR
IL
01
—
1636216
BC BS OF ILLINOIS
IL
01
—
L027264
CHAMPUS
IL
Enumeration date
12/19/2006
Last updated
01/05/2026
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