Organization
NORTHWEST HOMER FIRE PROTECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY OLISAR (ADMINISTRATIVE ASSISTANT)
(815) 838-0180
Entity
Organization
Contact information
Practice address
16152 W 143RD ST, LOCKPORT, IL 60491-8595
(815) 838-0180
(815) 838-0180
Mailing address
PO BOX 457, WHEELING, IL 60090-0457
(336) 518-6343
(336) 510-5893
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
723102
IL
341600000X
Ambulance
723103
IL
3416L0300X
Land Ambulance
Primary
723101
IL
Other
Enumeration date
08/30/2006
Last updated
09/22/2025
Update your record
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