Basic Information
| Provider Information | |||||||||
| NPI: | 1174759294 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FOX LAKE FIRE PROTECTION DISTRICT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 395 W LAKE ST | ||||||||
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| City: | ELMHURST | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601261508 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6305302988 | ||||||||
| FaxNumber: | 6309032830 | ||||||||
| Practice Location | |||||||||
| Address1: | 306 WASHINGTON | ||||||||
| Address2: | #237 | ||||||||
| City: | INGLESIDE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600410237 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475873978 | ||||||||
| FaxNumber: | 8475870895 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2009 | ||||||||
| LastUpdateDate: | 09/23/2009 | ||||||||
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| AuthorizedOfficialLastName: | WALLECK | ||||||||
| AuthorizedOfficialFirstName: | LINDA | ||||||||
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| AuthorizedOfficialTitleorPosition: | TRUSTEE / SECRETARY | ||||||||
| AuthorizedOfficialTelephone: | 8478339803 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3416L0300X | IL | Y | Transportation Services | Ambulance | Land Transport |
No ID Information.