Organization
SOUTH PARK FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT DELLES (FIRE CHIEF)
(630) 898-3222
Entity
Organization
Contact information
Practice address
599 MONTGOMERY RD, MONTGOMERY, IL 60538-1729
(630) 898-3222
(630) 898-3221
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
7234
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4521008
BCBS
IL
Enumeration date
06/14/2006
Last updated
04/20/2008
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