Organization
VILLAGE OF MCCOOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE CARR (MAYOR)
(708) 447-9030
Entity
Organization
Contact information
Practice address
5000 GLENCOE AVE, LA GRANGE, IL 60525-7801
(708) 447-7561
(708) 447-4548
Mailing address
PO BOX 1368, ELMHURST, IL 60126-8368
(630) 530-2988
(630) 832-9750
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
78907
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635964
BCBS
IL
Enumeration date
08/23/2006
Last updated
09/08/2025
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