National Provider Identifier Database

MAPLE PARK AND COUNTRYSIDE FIRE
Ambulance

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).


Contact Information

MAPLE PARK AND COUNTRYSIDE FIRE
305 S. COUNTYLINE ROAD
MAPLE PARK, IL60151
Phone: 815-827-3500
Fax: 815-827-3746
Website:
Specialty Taxonomy Code
* Ambulance 341600000X

* Indicates primary specialty

NPI Profile & details for MAPLE PARK AND COUNTRYSIDE FIRE

NPI Number 1386752525
Legal business name
LBN
MAPLE PARK AND COUNTRYSIDE FIRE
Authorized official KEVIN PETERSON - (FIRE CHIEF)
Entity Organization
Organization subpart No
Enumeration date 08/28/2006
Last updated 04/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 1 1018
  • IL Other: 05032052 BLUE CROSS BLUE SHIELD
  • IL Other: 5032052 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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