| Organization Name: | ITASCA FIRE PROTECTION DISTRICT NO 1 |
| NPI Number: | 1235188152 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES BURKE (FIRE CHIEF) |
| Mailing Address: | 520 W Irving Park Rd Itasca |
| State: | IL US |
| Postal Code: | 601432018 |
| Phone Number: | 6307731223 |
| Fax Number: | 6307733381 |
| NPI Enumeration Date: | 05/08/2006 |
| NPI Last Update Date: | 01/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 97104 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |