Organization
VILLAGE OF SKOKIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH CZERWINSKI (FIRE CHIEF)
(847) 982-5320
Entity
Organization
Contact information
Practice address
5127 OAKTON ST, SKOKIE, IL 60077
(847) 982-5320
(847) 675-2318
Mailing address
PO BOX 6275, CAROL STREAM, IL 60197-6275
(708) 478-5694
(708) 478-5879
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
108198
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620631
BCBS
IL
01
—
590014282
RAILROAD MEDICARE
IL
Enumeration date
10/09/2006
Last updated
05/22/2018
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