NPI 1013955426

Bourbonnais Fire District

Organisation Land Ambulance Bourbonnais, IL

Practice location

Address: 1080 Armour Rd, Bourbonnais, IL 60914-2102
Phone: (815) 935-9670
Fax: (815) 935-9675
Mailing address: PO Box 457, Wheeling, IL 60090-0457

Authorised official

Name: Ed St Louis
Title: Chief
Phone: (815) 935-9670

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 77816 (IL)

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Registry record

NPI: 1013955426
Entity type: Organization
NPI issued: 4 Jun 2006
Record last updated: 26 May 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.