Organization Name: | VILLAGE OF LA GRANGE PARK |
NPI Number: | 1427063130 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEAN MAGGOS (FIRE CHIEF) |
Mailing Address: | 447 N Catherine Ave La Grange Park |
State: | IL US |
Postal Code: | 605262006 |
Phone Number: | 7083540225 |
Fax Number: | 7084824425 |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 8305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |