Organization
HOMETOWN FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KOCABA (FIRE CHIEF)
(708) 422-2182
Entity
Organization
Contact information
Practice address
4301 SOUTHWEST HWY, HOMETOWN, IL 60456-1110
(708) 422-2182
(708) 499-3894
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
8175
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620348
BCBS
IL
Enumeration date
07/29/2006
Last updated
04/20/2008
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