Organization
CITY OF JOLIET
Active
Other names
Joliet Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MAROSE (CHIEF OF EMS)
(815) 724-3503
Entity
Organization
Contact information
Practice address
101 E CLINTON ST, JOLIET, IL 60432-4137
(815) 724-3503
(815) 724-3548
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(847) 577-8811
(847) 577-3518
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7 7093
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009970528
BCBS
IL
01
—
42011
AMERICAN REPUBLIC IN
IL
01
—
60054
AETNA
IL
01
—
61425
STAMARK PHCS
IL
01
—
8100053
UNITED HEALTH CARE
IL
Enumeration date
10/27/2005
Last updated
04/20/2008
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