Basic Information
| Provider Information | |||||||||
| NPI: | 1881147940 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | POLO FIRE PROTECTION DISTRICT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1368 | ||||||||
| Address2: | |||||||||
| City: | ELMHURST | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601261368 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6305302988 | ||||||||
| FaxNumber: | 6308329750 | ||||||||
| Practice Location | |||||||||
| Address1: | 206 S FRANKLIN AVE | ||||||||
| Address2: | |||||||||
| City: | POLO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 610641716 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8159462153 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2016 | ||||||||
| LastUpdateDate: | 07/25/2016 | ||||||||
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| AuthorizedOfficialLastName: | CASSENS | ||||||||
| AuthorizedOfficialFirstName: | BOB | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8159462153 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 341600000X | 01 1028 | IL | Y | Transportation Services | Ambulance |
No ID Information.