Village Of Richton Park
Ambulance in Richton Park, IL. Organization (NPI-2).
NPI number1043374481
StatusActive
Last updated in NPPESDec 10, 2019
Details
- NPI
- 1043374481
- Entity type
- Organization (NPI-2)
- Legal business name
- Village Of Richton Park
- Organization subpart
- No
- Enumeration date
- Dec 20, 2006
- Certification date
- Dec 10, 2019
- Last updated
- Dec 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 341600000X | Ambulance | 891001 | IL | Yes |
Practice location
4455 Sauk TrlRichton Park, IL 60471-1126
Phone 773-233-1170 · Fax 773-233-8146
Mailing address
Po Box 1053Mokena, IL 60448-2052
Phone 708-478-5694
Authorized official
Rodney Wilson
Fire Chief
7084785694
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