Organization
CITY OF BURBANK
Active
Parent organization
CITY OF BURBANK
Other names
Burbank Fire Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF BURBANK
Authorized official
MR. DAVID E GILGENBERG (FIRE CHIEF)
(708) 599-7766
Entity
Organization
Contact information
Practice address
6530 W 79TH ST, BURBANK, IL 60459-1189
(708) 599-7766
(708) 599-9764
Mailing address
PO BOX 6253, CAROL STREAM, IL 60197-6253
(708) 599-7766
(708) 599-9764
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
078156
IL
3416L0300X
Land Ambulance
078156
IL
3416L0300X
Land Ambulance
8156
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001670438
BLUE CROSS OF IL
IL
01
—
0801234
AETNA HEALTH
IL
05
—
36298031001
—
IL
Enumeration date
05/16/2006
Last updated
04/06/2020
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