Organization
CITY OF PARK RIDGE
Active
Other names
Park Ridge Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SCOTT JARKA (LIEUTENANT)
(630) 337-8174
Entity
Organization
Contact information
Practice address
505 BUTLER PLACE, PARK RIDGE, IL 60068-4648
(847) 318-5264
(847) 318-5314
Mailing address
505 BUTLER PLACE, PARK RIDGE, IL 60068-4648
(847) 318-5264
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
8194
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1670787
BCBS
IL
01
—
590007926
RR MEDICARE
IL
Enumeration date
06/09/2006
Last updated
03/16/2016
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