| Organization Name: | PINGREE GROVE & C SIDE FPD |
| NPI Number: | 1003914540 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MITCHELL CROCETTI (FIRE CHIEF) |
| Mailing Address: | 39w160 Plank Rd Elgin |
| State: | IL US |
| Postal Code: | 601238002 |
| Phone Number: | 8474365335 |
| Fax Number: | 8474366420 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 02/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 97907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |