| Organization Name: | VILLAGE OF MUNDELEIN |
| NPI Number: | 1063454379 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDY JUSTUS (FIRE CHIEF) |
| Mailing Address: | 1000 N Midlothian Rd Mundelein |
| State: | IL US |
| Postal Code: | 600601235 |
| Phone Number: | 8476236440 |
| Fax Number: | 8476239290 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 06/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 7272 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |