Organization
CULLOM FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL KRAUSE (FIRE CHIEF)
(815) 689-2241
Entity
Organization
Contact information
Practice address
107 S. MAPLE, CULLOM, IL 60929
(815) 689-2241
(815) 689-2355
Mailing address
395 W LAKE ST, ELMHURST, IL 60126-1508
(630) 903-2372
(630) 903-2830
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
26725
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05332009
BCBS
IL
01
—
590011853
RAILROAD MEDICARE
IL
Enumeration date
07/31/2006
Last updated
01/03/2012
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