Organization
VILLAGE OF PARK FOREST
Active
Other names
Park Forest Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WILCOX (FIRE CHIEF)
(708) 748-5605
Entity
Organization
Contact information
Practice address
156 INDIANWOOD BLVD, PARK FOREST, IL 60466-2044
(708) 748-5605
(708) 748-4890
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
8162
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1670780
BCBS
IL
01
—
590006813
RR MEDICARE
IL
Enumeration date
06/07/2006
Last updated
06/26/2008
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