Healthcare Provider Details

I. General information

NPI: 1780699587
Provider Name (Legal Business Name): BURLINGTON COMMUNITY FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 SOUTH ST.
BURLINGTON IL
60109
US

IV. Provider business mailing address

PO BOX 404
BURLINGTON IL
60109-0404
US

V. Phone/Fax

Practice location:
  • Phone: 847-683-2199
  • Fax: 847-683-2199
Mailing address:
  • Phone: 630-903-2199
  • Fax: 630-530-2869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number97196
License Number StateIL

VIII. Authorized Official

Name: CINDY LEE GRAY
Title or Position: EMS COORDINATOR
Credential:
Phone: 847-683-2199