institution
Village Of La Grange
Land Ambulance in La Grange, Illinois
NPI 1154336865

Village Of La Grange is a Land Ambulance based in Wheeling, IL and is specialized in Land Transport. Village Of La Grange practices in La Grange, IL. The NPI Number for Village Of La Grange is 1154336865 and holds a License No. 8064 (Illinois).

The current practice location address for Village Of La Grange is 300 W Burlington Ave, La Grange, IL and can be reached out via phone at 708-579-2338 and via fax at 708-579-9747.

Location: 300 W Burlington Ave, La Grange, IL, 60090-0457
institution
Provider Profile Details
NPI Number
1154336865
Provider Name
Village Of La Grange
Credential
Provider Entity Type
Organization
Address
300 W Burlington Ave, La Grange, IL, 60090-0457
Phone Number
708-579-2338
Fax Number
708-579-9747
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1632702 01 IL BCBS
P00089642 01 IL RR MEDICARE
0005886346 01 IL AETNA
institution
Provider Business Practice Location Address Details
Address
300 W Burlington Ave
City
State
Zip
60525-2363
Phone Number
708-579-2338
Fax Number
708-579-9747
person
Provider Business Mailing Address Details
Address
300 W Burlington Ave
City
State
Zip
60525-2363
Phone Number
708-579-2338
Fax Number
708-579-9747
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
8064 (Illinois)
Definition
Definition to come...
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