Organization Name: | VILLAGE OF UNIVERSITY PARK |
NPI Number: | 1225125362 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES EXNER (FIRE CHIEF) |
Mailing Address: | 698 Burnham Dr University Park |
State: | IL US |
Postal Code: | 604662708 |
Phone Number: | 7082354833 |
Fax Number: | 7085344820 |
NPI Enumeration Date: | 10/09/2006 |
NPI Last Update Date: | 03/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 77581 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |