Organization
LELAND FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN WESSON (BOARD OF TRUSTEE PRESIDENT)
(815) 495-9385
Entity
Organization
Contact information
Practice address
180 E. RAILROAD AVENUE, LELAND, IL 60531-0291
(815) 495-9385
(815) 495-9489
Mailing address
PO BOX 291, LELAND, IL 60531-0291
(815) 495-9385
(815) 495-9489
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1 252901
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05032067
BLUE CROSS & BLUE SHIELD
IL
01
—
P00368407
RAILROAD MEDICARE
IL
Enumeration date
12/11/2006
Last updated
04/20/2008
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