Organization
WAUCONDA FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DATO (FIRE CHIEF)
(847) 526-2821
Entity
Organization
Contact information
Practice address
109 W LIBERTY ST, WAUCONDA, IL 60084-2453
(847) 526-2821
(847) 526-2836
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
7262
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881873479
BCBS
IL
Enumeration date
10/31/2007
Last updated
08/27/2009
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