Healthcare Provider Details

I. General information

NPI: 1235174533
Provider Name (Legal Business Name): STEGER ESTATES VOLUNTEER FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 01/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23940 S KINGS RD
CRETE IL
60417-9661
US

IV. Provider business mailing address

PO BOX 457
WHEELING IL
60090-0457
US

V. Phone/Fax

Practice location:
  • Phone: 708-748-4816
  • Fax: 708-748-9362
Mailing address:
  • Phone: 847-577-8811
  • Fax: 847-577-7967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number7902
License Number StateIL

VIII. Authorized Official

Name: RANDY MANNS
Title or Position: LIEUTENANT / EMS COORDINATOR
Credential:
Phone: 708-748-4816