Organization
VILLAGE OF PALATINE
Active
Other names
Palatine Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK GRATZIANNA (FIRE CHIEF)
(847) 202-6341
Entity
Organization
Contact information
Practice address
200 E WOOD ST, PALATINE, IL 60067-5346
(847) 202-6340
(847) 202-6320
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
8204
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633594
BCBS
IL
01
—
20513730
DEPT OF LABOR OWCP
IL
01
—
P00077043
RR MEDICARE
IL
Enumeration date
06/07/2006
Last updated
09/13/2023
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