Organization
REDDICK COMM FIRE PROT DIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PERRY (FIRE CHIEF)
(815) 365-2284
Entity
Organization
Contact information
Practice address
2958 S 19000W RD, REDDICK, IL 60961-8054
(815) 365-2284
(815) 365-4212
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
7959
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4627014
BCBS
IL
01
—
590013645
RR MEDICARE
IL
Enumeration date
06/13/2006
Last updated
09/23/2011
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