NPI 1003849472

Grant Park Fire Protection District

Organisation Land Ambulance Grant Park, IL

Practice location

Address: 107 W Curtis St Box 538, Grant Park, IL 60940-7135
Phone: (815) 465-6123
Fax: (815) 465-6537
Mailing address: PO Box 457, Wheeling, IL 60090-0457

Authorised official

Name: Laura Lee Veldhuizen
Title: Prehospital Registered Nurse
Phone: (815) 465-6123

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 77822 (IL)

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Registry record

NPI: 1003849472
Entity type: Organization
NPI issued: 9 Jul 2006
Record last updated: 22 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.