| Organization Name: | VILLAGE OF LAKE ZURICH |
| NPI Number: | 1144235854 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY MASTANDREA (FIRE CHIEF) |
| Mailing Address: | 321 S Buesching Rd Lake Zurich |
| State: | IL US |
| Postal Code: | 600472535 |
| Phone Number: | 8475405070 |
| Fax Number: | 8477261644 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 05/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 7260 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |