Healthcare Provider Details

I. General information

NPI: 1801902507
Provider Name (Legal Business Name): DARIEN WOODRIDGE FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 03/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 LYMAN AVE
DARIEN IL
60561-4392
US

IV. Provider business mailing address

395 W LAKE ST
ELMHURST IL
60126-1508
US

V. Phone/Fax

Practice location:
  • Phone: 630-910-2200
  • Fax: 630-910-2083
Mailing address:
  • Phone: 630-903-1280
  • Fax: 630-910-2083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number87211
License Number StateIL

VIII. Authorized Official

Name: MR. DAVID LAMBRIGHT
Title or Position: FIRE CHIEF
Credential:
Phone: 630-910-2200