Healthcare Provider Details

I. General information

NPI: 1972518413
Provider Name (Legal Business Name): LEYDEN FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 MANNHEIM RD
FRANKLIN PARK IL
60131-3137
US

IV. Provider business mailing address

PO BOX 6253
CAROL STREAM IL
60197-6253
US

V. Phone/Fax

Practice location:
  • Phone: 847-455-0180
  • Fax: 847-455-1126
Mailing address:
  • Phone: 630-530-2988
  • Fax: 630-832-9750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number88066
License Number StateIL

VIII. Authorized Official

Name: MR. KORY RYAN
Title or Position: FIRE CHIEF
Credential:
Phone: 847-455-0180