Organization
BEACH PARK FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J STAHL (FIRE CHIEF)
(847) 662-2642
Entity
Organization
Contact information
Practice address
3233 N LEWIS AVE, BEACH PARK, IL 60087-2210
(847) 662-2642
(847) 662-2779
Mailing address
PO BOX 1368, ELMHURST, IL 60126-8368
(630) 530-2988
(630) 832-9750
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7974
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206946
MEDICARE, PART B
IL
01
—
4932215
BLUE CROSS BLUE SHIELD
IL
01
—
P0078980
MEDICARE RAILROAD
IL
Enumeration date
05/31/2006
Last updated
09/05/2025
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