Organization
CITY OF WAUKEGAN ILLINOIS
Active
Other names
Waukegan Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG PAISER (FIRE CHIEF)
(847) 625-6333
Entity
Organization
Contact information
Practice address
1101 BELVIDERE ST, WAUKEGAN, IL 60085-6201
(847) 249-5410
(847) 249-5607
Mailing address
PO BOX 1368, ELMHURST, IL 60126-8368
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7275
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4920251
BCBS
IL
01
—
590013130
RR MEDICARE
IL
01
—
614345800
DEPT OF LABOR OFFICE OF WORKER COMP
IL
Enumeration date
07/10/2006
Last updated
04/03/2026
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