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Contact Information

VILLAGE OF MERRIONETTE PARK
11720 S KEDZIE AVE
MERRIONETTE PARK, IL60803-4516
 Phone: 773-233-1170
 Fax: 773-233-8146
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for VILLAGE OF MERRIONETTE PARK

NPI Number 1952466815
LBN Legal business name VILLAGE OF MERRIONETTE PARK
Authorized official LEONARD EDLING - (FIRE CHIEF)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2006
Last updated 12/10/2019 - About 6 years ago
Identifiers
IL License # 891001
IL Other 1636180 BC BS OF ILLINOIS
IL Other 1636180 HMO ILLINOIS
IL Other 590009584 RAILROAD RETIREMENT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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