NPI 1023124617

Village of Hanover Park

Organisation Land Ambulance Hanover Park, IL

Practice location

Address: 2121 W Lake St, Hanover Park, IL 60133-4301
Phone: (630) 372-4200
Fax: (630) 372-4215
Mailing address: PO Box 457, Wheeling, IL 60090-0457

Authorised official

Name: Craig Haigh
Title: Fire Chief
Phone: (630) 372-4200

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 8960 (IL)

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Registry record

NPI: 1023124617
Entity type: Organization
NPI issued: 23 Aug 2006
Record last updated: 20 Apr 2008

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.